Acquired tracheoesophageal fistula
Updates to Case Attributes
Tracheo-oesophageal fistulas are rare complicationcomplications of intubation or malignant lesions.
We had certainty of tracheo-oesophageal communication as we saw the guide wire passing from the oesophagus to the bronchial lumen.
-<p>Tracheo-oesophageal fistulas are rare complication of intubation or malignant lesions.</p><p>We had certainty of tracheo-oesophageal communication as we saw the guide wire passing from oesophagus to bronchial lumen.</p><p> </p>- +<p>Tracheo-oesophageal fistulas are rare complications of intubation or malignant lesions.</p><p>We had certainty of tracheo-oesophageal communication as we saw the guide wire passing from the oesophagus to the bronchial lumen.</p><p> </p>
Updates to Study Attributes
In order to obtain a proper gastric distension, we advanced an idrophilichydrophilic guide wire and a 4F Multipurpose catheter inside the esophagus; at the level of the lesion the guide wire stopped, so we injected a tiny amount of iodinated contrast.
The patient immediately coughed, and tracheo-bronchial wall opacification was visible.
We then advanced the guide wire, that passed inside the bronchial lumen (images not shown).
After several attempts, we successfully pushed the guide wire inside the gastric lumen and performed RIG positioning.