UNUSUAL EARLY FINDING OF ABDOMINAL DISTENTION AND GASTRIC CONTENT ASPIRATION AFTER TRACHEOSTOMY: CASE REPORT

Sultan K Kadasah, Abdulaziz Al Qahtani, Mohammed Alqarny, Shahd Saeed Ali dlboh, Adnan Saeed Q Al-Malki

Abstract


Acquired tracheoesophageal fistula (TEF) is a rare and severe complication of intubation and tracheostomy, which can lead to serious comorbidities and high mortality. In this case report, we present a case with TEF in addition to multiple systemic diseases and infections, highlighting the patient’s clinical presentation, diagnosis, and management. This case highlights the importance of considering acquired TEF as a potential complication of prolonged intubation and the need for prompt diagnosis and management to prevent potentially life-threatening complications, including death.


Keywords


Acquired tracheoesophageal fistula; Prolonged Intubation; Complications; Tracheostomy; Case report.

Full Text:

PDF

References


Diddee R, Shaw IH. Acquired tracheo-oesophageal fistula in adults. Continuing Education in Anaesthesia Critical Care & Pain 2006;6(3):105-108. https://doi.org/10.1093/bjaceaccp/mkl019

Sanwal M, Ganjoo P, Tandon M. Posttracheostomy tracheoesophageal fistula. J Anaesthesiol Clin Pharmacol 2012;28(1):140. https://doi.org/10.4103/0970-9185.92478

Alkrekshi A, Bukamur H. Iatrogenic esophageal and tracheal perforation with tracheoesophageal fistula following emergency intubation. Clin Case Rep 2021;9(1):588-589. https://doi.org/10.1002/ccr3.3552

Altinsoy B. Tracheo-esophageal fistula secondary to tracheostomy, delayed diagnosis. J Pak Med Assoc 2012;62(8):851-853.

Rana R, Sapkota R, Shakya B, Gautam S. Prolonged Intubation Induced Tracheoesophageal Fistula in Suspected Meningococcal Sepsis with ARDS: A Case Report. JNMA J Nepal Med Assoc 2018;56(214):980-982. https://doi.org/10.31729/jnma.3890

Paraschiv M. Tracheoesophageal fistula--a complication of prolonged tracheal intubation. J Med Life 2014;7(4):516-521.

AA, Mohamed H, Al-Mansoori M. Acquired tracheoesophageal fistula due to high intracuff pressure. Ann Thorac Med 2008;3(1):23-25. https://doi.org/10.4103/1817-1737.37950

Mohsin M, Saleem Mir I, Hanief Beg M, et al. Nasogastric tube knotting with tracheoesophageal fistula a rare association. Interactive CardioVascular and Thoracic Surgery 2007;6(4):508-510. https://doi.org/10.1510/icvts.2007.157065

Vallumsetla N, Pendkar C, Sonde S, Krishnan P. Recognition of a tracheoesophageal fistula in a mechanically ventilated patient. Chest 2020;158(4):A715. https://doi.org/10.1016/j.chest.2020.08.671

Little BP, Mendoza DP, Fox A, et al. Direct and indirect CT imaging features of esophago-airway fistula in adults. J Thorac Dis 2020;12(6):3157-3166. https://doi.org/10.21037/jtd-20-244

Bibas BJ, Cardoso PFG, Minamoto H, Pêgo-Fernandes PM. Surgery for intrathoracic tracheoesophageal and bronchoesophageal fistula. Ann Transl Med 2018;6(11):210. https://doi.org/10.21037/atm.2018.05.25

Ke M, Wu X, Zeng J. The treatment strategy for tracheoesophageal fistula. J Thorac Dis 2015;7(Suppl 4):S389-397. doi:10.3978/j.issn.2072-1439.2015.12.11

Bakal U, Ersoz F, Eker I, Sarac M, Aydin M, Kazez A. Long-Term Prognosis of Patients with Esophageal Atresia and/or Tracheoesophageal Fistula. Indian J Pediatr 2016;83(5):401-404. https://doi.org/10.1007/s12098-015-1930-0

Negro MSD, Barreto G, Antonelli RQ, et al. Effectiveness of the endotracheal tube cuff on the trachea: physical and mechanical aspects. Rev Bras Cir Cardiovasc 2014;29(4):552-558. https://doi.org/10.5935/1678-9741.20140096

Kang H, Yi KS, Kim SH, et al. Multidisciplinary team approach on tracheoesophageal fistula in a patient with home ventilator. J Thorac Dis 2022;14(10):4143-4149. https://doi.org/10.21037/jtd-22-675




DOI: https://doi.org/10.46903/gjms/21.02.1347

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023. Sultan K Kadasah, Abdulaziz Al Qahtani, Mohammed Alqarny, Shahd Saeed Ali dlboh, Adnan Saeed Q Al-Malki

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

JOURNAL INDEXING