Journal of Nepal Medical Association | |
Prolonged Intubation Induced Tracheoesophageal Fistula in Suspected Meningococcal Sepsis with ARDS: A Case Report | |
article | |
Ramesh Rana1  Rikesh Sapkota1  Binesh Shakya2  Samir Gautam3  | |
[1] Department of Internal Medicine, Gautam Buddha Community Heart Hospital;Department of Anesthesiology, Gautam Buddha Community Heart Hospital;Department of Cardiology, Gautam Buddha Community Heart Hospital | |
关键词: Case report; endotracheal intubation; mechanical ventilation; tracheoesophageal fistula; | |
DOI : 10.31729/jnma.3890 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: Nepal Medical Association since | |
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【 摘 要 】
Tracheoesophageal fistula is an abnormal communication between trachea and esophagus. Benign acquired types are rare with the incidence of less than 1%. Prolonged endotracheal intubation remains the most common cause. We are reporting a 28 years old female patient presented with chief complaint of a cough after each meal intake in the outpatient clinic. She had a recent history of admission in the intensive care unit with prolonged intubation (11 days). Her general physical examination, laboratory examination, and chest x-ray were normal. Esophagogastroscopy was performed and revealed communication between upper esophagus and trachea approximately at 14-17cm embedded in longitudinal mucosal folds of the esophagus. She was referred to the higher center for surgical repair. Though, a rare complication, high suspicion is necessary to accurately diagnose the disease in a patient with the history of prolonged intubation.
【 授权许可】
CC BY
【 预 览 】
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