Tracheoesophageal fistula after caustic ingestion.
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.
Crema
Eduardo
E
Department of Surgical Gastroenterology, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.
Fatureto
Marcelo Cunha
MC
Gonzaga
Marcel Noronha
MN
Pastore
Ricardo
R
da Silva
Alex Augusto
AA
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
D002424:Caustics