We report the successful closure of a complicated bronchocutaneous fis
tula using a pedicled jejunal nap. The fistula, secondary to tuberculo
sis and irradiation, previously had been dosed with a latissimus dorsi
musculocutaneous flap. This initial repair failed. The recurrent fist
ulas were closed again using a jejunal seromuscular nap, and the chest
wall defect was reconstructed with a rectus abdominis musculocutaneou
s flap.