Pneumothorax, pneumomediastinum, tracheo-esophageal fistula presenting with endotracheal intubation in post-cesarean period: A case report

The non-malignant, acquired tracheoesophageal fistulas (TEF), resulting from tracheal intubation are usually iatrogenic lesions. Tracheal lesions resulting from intubation may occur and pneumomediastinum, pneumothorax or subcutaneous emphysema may develop due to the stream of air. We present a-39-ye...

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Bibliographic Details
Published in:Cases journal 2008-08, Vol.1 (1), p.134-134, Article 134
Main Authors: Oksuz, Hafize, Senoglu, Nimet, Zencirci, Beyazýt, Ezberci, Meral, Yuzbasioglu, Mehmet Fatih
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Case studies
Causes of
Cesarean section
Diagnosis
Fistula, Tracheoesophageal
Health aspects
Pneumothorax
Risk factors
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Summary:The non-malignant, acquired tracheoesophageal fistulas (TEF), resulting from tracheal intubation are usually iatrogenic lesions. Tracheal lesions resulting from intubation may occur and pneumomediastinum, pneumothorax or subcutaneous emphysema may develop due to the stream of air. We present a-39-year old, Caucasian patient, developing severe hypoxia fallowing cesarean section under general anesthesia. The findings of the patient were diffuse subcutaneous emphysema; together with pneumothorax and pneumomediastinum TEF was diagnosed in the patient by bronchoscopy and eusophagoscopy performed due to cough and difficulty in swallowing developing after extubation. It is important to the clinicians to be aware of the TEF can be accompanied to the traumatic intubation and urgent endoscopy or water-soluble contrast radiography may be prudent.
ISSN:1757-1626
1757-1626
DOI:10.1186/1757-1626-1-134