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Tracheoesophageal fistula after caustic ingestion
Eduardo Crema1, Marcelo Cunha Fatureto, Marcel Noronha Gonzaga
1Department of Surgical Gastroenterology, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil.
Summary
Caustic ingestion can cause rare tracheoesophageal fistulas. This case report details a successful surgical reconstruction for a patient with a complex fistula following corrosive substance ingestion.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Otolaryngology
Background:
- Tracheoesophageal fistulas (TEFs) are rare, with caustic ingestion being a significant etiological factor.
- Caustic ingestion can lead to severe esophageal injury, potentially resulting in TEF formation.
Observation:
- A 27-year-old male presented with symptoms of retrosternal pain, cough, dyspnea, and hoarseness 14 days after ingesting a caustic substance.
- Upper digestive tract endoscopy confirmed the presence of a tracheoesophageal fistula.
Findings:
- The patient underwent surgical management including cervical exclusion of esophageal transit and gastrostomy.
- Nutrient transit was successfully reconstructed using pharyngocoloplasty.
Implications:
- This case highlights a viable surgical approach for managing complex tracheoesophageal fistulas secondary to caustic ingestion.
- Pharyngocoloplasty offers a reconstructive option for restoring esophageal continuity and improving patient outcomes.
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