Park CS, Seo KW, Park CR, Nah YW, Suh JH. Case of bronchoesophageal fistula with gastric perforation due to multidrug-resistant tuberculosis. World J Gastrointest Surg 2014; 6(12): 253-258 [PMID: 25548611 DOI: 10.4240/wjgs.v6.i12.253]
Corresponding Author of This Article
Kwang Won Seo, MD, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, 290-3 Jeonha-dong, Dong-gu, Ulsan 682-714, South Korea. kwseo@uuh.ulsan.kr
Article-Type of This Article
Case Report
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World J Gastrointest Surg. Dec 27, 2014; 6(12): 253-258 Published online Dec 27, 2014. doi: 10.4240/wjgs.v6.i12.253
Case of bronchoesophageal fistula with gastric perforation due to multidrug-resistant tuberculosis
Chan Sung Park, Kwang won Seo, Chang Ryul Park, Yang Won Nah, Jae Hee Suh
Chan Sung Park, Kwang won Seo, Department of Internal medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea
Chang Ryul Park, Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea
Yang Won Nah, Department of General Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea
Jae Hee Suh, Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea
Author contributions: Park CS, Seo KW, Park CR and Nah YW wrote the paper; Suh JH made the pathological diagnosis.
Correspondence to: Kwang Won Seo, MD, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, 290-3 Jeonha-dong, Dong-gu, Ulsan 682-714, South Korea. kwseo@uuh.ulsan.kr
Telephone: +82-52-2508861 Fax: +82-52-2518235
Received: April 2, 2012 Revised: August 8, 2012 Accepted: March 20, 2013 Published online: December 27, 2014
Abstract
Gastric perforation and tuberculous bronchoesophageal fistula (TBEF) are very rare complications of extrapulmonary tuberculosis (TB). We present a case of pulmonary TB with TBEF and gastric perforation caused by a multidrug-resistant tuberculosis strain in a non-acquired immune deficiency syndrome male patient. The patient underwent total gastrectomy with Roux-en-Y end-to-side esophagojejunostomy and feeding jejunostomy during intravenous treatment with anti-TB medication, and esophageal reconstruction with colonic interposition and jejunocolostomy were performed successfully after a full course of anti-TB medication. Though recent therapies for TBEF have favored medication, patients with severe stenosis or perforation require surgery and medication with anti-TB drugs based upon adequate culture and drug susceptibility testing.
Core tip: A case of pulmonary extrapulmonary tuberculosis (TB) with TB and gastric perforation caused by a multidrug-resistant tuberculosis strain in a non-acquired immune deficiency syndrome male patient.
