title: Tracheoesophageal fistula after caustic ingestion.
abstract: Tracheoesophageal fistulas are uncommon and present diverse etiologies, among which is burning of the esophagus due to caustic ingestion. Herein, we report the case of a 27-year-old male patient having ingested a caustic substance 14 days prior and presenting burning retrosternal pain, weakness, productive cough with purulent sputum and dyspnea accompanied by hoarseness for the preceding 24 h. Endoscopy of the upper digestive tract revealed a tracheoesophageal fistula. Treatment consisted of cervical exclusion of the esophageal transit, together with gastrostomy. Subsequently, the nutrient transit was reconstructed through pharyngocoloplasty. The postoperative evolution was favorable.
authors.affiliation: Department of Surgical Gastroenterology, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Crema
authors.forename: Marcelo Cunha
authors.initials: MC
authors.lastname: Fatureto
authors.forename: Marcel Noronha
authors.initials: MN
authors.lastname: Gonzaga
authors.forename: Ricardo
authors.initials: R
authors.lastname: Pastore
authors.forename: Alex Augusto
authors.initials: AA
authors.lastname: da Silva
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000209:etiology*; D002424:Caustics / Q000633:toxicity*; D004947:Esophagus / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D011859:Radiography; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries*; D014138:Tracheoesophageal Fistula / Q000139:chemically induced* / Q000601:surgery
chemical_list: D002424:Caustics