Foreign body induced tracheoesophageal fistula in a pediatric patient with a misdiagnosis: case report and review of literature.
FOREIGN BODY INDUCED TRACHEOESOPHAGEAL FISTULA IN A PEDIATRIC PATIENT WITH A MISDIAGNOSIS: CASE REPORT AND REVIEW OF LITERATURE. Ethiop Med J. 2015 Oct;53(4):209-13 Authors: Tadesse A, Befekadu M, Getachew H, Bezabih A, Derbew M Abstract Acquired tracheoesophageal fistulae can be diagnosed clinically by features such as cough elicited by swallowing but symptoms can be mild. Here, we report a case of a foreign body induced trachea-esophageal fistula in a 2 year and 6 months old male child with a chronic cough who had long been misdiagnosed and mismanaged. PMID: 27182587 [PubMed - in process]
Benign acquired tracheoesophageal fistula (TEF) is a rare complication related to prolonged mechanical ventilation, esophageal and mediastinal surgeries, chest trauma, or infection. TEF should be suspected in ventilated patients with persistent air leak, recurrent pneumonias, or those with persistent cough immediately following swallowing (Ono sign). Once identified, the only definitive solution for TEF is surgical correction. In preparation for surgical repair, most opt to wean patients from the ventilator and place a percutaneous gastrostomy tube for diversion.
Conclusions: this is the largest study in pediatric NCFB. As the management of NCFB affected patients remains problematic, a better definition of clinical, radiological and microbiological features of NCFB is required to improve their management.Reference:1. BMC Pediatrics 2014;14: 299
Conclusion: Multiple airway anomalies may be seen in VACTERL association. It is worthwhile to make special note for evaluating the tracheobronchial pulmonary system by chest CT and bronchoscopy, especially patients presenting with breathing anomalies.
A 6-month-old full-term male patient was born uneventfully through vaginal delivery. At the age of 3 months, he began experiencing unresolving dry cough and poor feeding. During respiratory auscultation, tachypnea without adventitious breath sounds was noted. Chest radiograph (CxR) based from the latest admission revealed ground-glass opacity (GGO) and hyperinflation in bilateral lung fields (Supplement Fig.). Meanwhile, echocardiogram showed a patent foramen ovale, while esophagogram was negative for tracheoesophageal fistula or gastroesophageal reflux.
Abstract A tracheoesophageal fistula is the formation of an abnormal communication between the airway and the esophagus. Acquired tracheoesophageal fistulas can be benign or malignant. The management is either surgical or endoscopic depending on the etiology, size and anatomy of the fistula as well as on the patient's performance status. The interventional treatment of choice is endoscopic stent implantation. In general, tracheoesophageal fistulas in patients with benign conditions are managed surgically. If the patient is unfit for surgery silicone stents should be used because they can be more easily removed aft...
Mr T is a 68 year old Chinese man, diagnosed with locally advanced circumferential squamous cell carcinoma at proximal esophagus with local lymphadenopathy, who underwent chemoradiotherapy. He developed severe cough and CT scan noted the presence of a tracheoesophageal fistula. A gastroscopy confirmed the presence of circumferential tumor with tracheoesophageal fistula which was too proximal to place an esophageal stent. A fully covered tracheal stent was inserted endoscopically and a gastrostomy tube was inserted radiologically to bypass the esophagus for feeding.
Abstract An 8-month-old intact female mixed breed Maremma sheepdog with a history of chronic cough was examined. A diagnosis of congenital tracheoesophageal fistula was made. A novel endoscopic diode laser technique achieved closure of the fistula and resolution of the clinical signs. Our experience has shown that the diode laser technique is an appropriate mode of therapy. PMID: 31080257 [PubMed - in process]
Conclusion Tracheomalacia tends to be present independently of surgical procedure. Tracheomalacia should be measured by tracheoscopy (in % of tracheal collapse). Patients with a tracheal collapse of>80%, a ventral pulsation, and obstructive apnea or cyanosis in combination, are at risk for life-threatening situations and further surgical treatment should be considered. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Conclusions: The 84% of the patients that we observed, assessing tracheotomy tube removal according to the described parameters, recovered without complications. As a result these parameters may be useful for predicting successful decannulation
Acquired benign tracheoesophageal fistula is a rare and challenging clinical condition requiring the combined efforts of team management. Numerous causes have been documented, the most common of which are endotracheal and tracheostomy tube –related injuries. The classic clinical presentation is a persistent and intense cough following deglutition. It is confirmed by endoscopic procedures on the aerodigestive tracts, and graphic displays of the fistula can be obtained from images obtained from contrast studies. Successful management mostly requires good preoperative preparation, careful intraoperative dissections at a...