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A 45-year-old female with congenital esophago-bronchial fistula was reported. She had suffered from common cold and recurrent bouts of coughing during meals since infancy. An esophago-bronchial fistula was detected by esophagography accidentally. The fistula was connected with right lower lobe bronchus (B6). CT scan showed the cystic change of the right lower lobe. The fistula was surgically removed and right lower lobe lobectomy was carried out. The adhesion of the lower lobe to the chest wall was recognized, but there were no inflammatory signs around the fistula. The isolation of the fistula was very easy. The postoperative course was uneventful.
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