title: Tracheal penetration and tracheoesophageal fistula caused by an esophageal self-expanding metallic stent.
abstract: Tracheal penetration of esophageal self-expanding metallic stents (SEMS) with/without tracheoesophageal fistula (TEF) formation is a rare occurrence. We report the case of a 66-year-old female patient with advanced esophageal squamous cell carcinoma who had undergone palliative esophageal stenting on three occasions for recurrent esophageal stent obstruction. On evaluation of symptoms of breathing difficulty and aspiration following third esophageal stent placement, tracheal erosion and TEF formation due to the tracheal penetration by esophageal stent were diagnosed. The patient was successfully managed by covered tracheal SEMS placement under flexible bronchoscopy.
authors.affiliation: Department of Pulmonary Medicine & Sleep Disorders, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Karan
authors.initials: K
authors.lastname: Madan
authors.affiliation: Department of Gastrointestinal Surgery, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Venuthurimilli
authors.affiliation: Department of Gastroenterology, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Vineet
authors.initials: V
authors.lastname: Ahuja
authors.affiliation: Department of Pulmonary Medicine & Sleep Disorders, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Vijay
authors.identifier: 0000-0001-5820-3685
authors.initials: V
authors.lastname: Hadda
authors.affiliation: Department of Pulmonary Medicine & Sleep Disorders, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Anant
authors.initials: A
authors.lastname: Mohan
authors.affiliation: Department of Pulmonary Medicine & Sleep Disorders, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Randeep
authors.initials: R
authors.lastname: Guleria