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김진영 ( Jinyoung Kim ),김호연 ( Hoyun Kim ),이형경 ( Hyeungkyeung Lee ),정민선 ( Minseon Cheong ),형례창 ( Li Chang Hsing ),김도훈 ( Do Hoon Kim ),정훈용 ( Hwoon-yong Jung ) 대한내과학회 2018 대한내과학회지 Vol.93 No.5
Tuberculosis rarely involves the esophagus, and most esophageal tuberculosis occurs secondary to adjacent tuberculous lymphadenitis. An esophago-mediastinal fistula is a very unusual complication of tuberculous lymphadenitis. Herein, we report a case of an esophago-mediastinal fistula due to tuberculous lymphadenitis. A 28-year-old woman who had dysphagia was assessed by chest computed tomography, endoscopy, esophagogram, and a lymph node biopsy. An esophago-mediastinal fistula was found and an antituberculous agent was considered initially. However, because of her severe dysphagia, she managed with endoscopic clipping as an alternative. However, the fistula remained on follow-up esophagography. A gastrostomy was eventually performed, and she was treated with an antituberculous agent. The fistula had closed after 4 weeks of medication. Antituberculous agents are the mainstay treatment for esophago-mediastinal fistula due to tuberculous lymphadenitis; endoscopic clipping may be a complementary treatment. (Korean J Med 2018;93:477-481)