Silicotuberculosis with Esophagobronchial Fistula and Broncholithiasis

Hua Zhang, Li Li, Xiao-Wei Sun, Chun-Ling Zhang


A 69-year-old woman was admitted to hospital 4 times from November 2007 to June 2009. The patient had silicosis complicated by broncholithiasis, esophagobronchial fistula, and relapsed tuberculosis. She had worked as a stone crusher for 3 years and was exposed to a large amount of quartz dust. Barium esophagography, gastroesophageal endoscopy, and biopsy suggested esophageal-related chronic inflammation and ulcer, which probably caused the repeated esophagobronchial fistulas observed. Bronchoscopy revealed a free broncholithiasis in the left main bronchus. The patient was readmitted a fourth time, for the relapse of silicotuberculosis. After 9 months of antituberculous therapy, she was doing well until the recent last follow-up visit.


Silicosis; Esophagus; Fistula; Tuberculosis; Lung diseases

doi: 10.15171/ijoem.2017.822

 pISSN: 2008-6520
 eISSN: 2008-6814

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