Case Reports Tracheoesophageal fistula after caustic ingestion*

  • J Bras Pneumol
  • Eduardo Crema
  • Marcelo Cunha Fatureto
  • Marcel Noronha Gonzaga
  • Ricardo Pastore
  • Alex Augusto Da Silva
Publication date
August 2015

Abstract

Tracheoesophageal fistulas are uncommon and present diverse etiologies, among which is burning of the esophagus due to caustic inges-tion. 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. Endos-copy 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

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