Korean J Anesthesiol.
2009 Jun;56(6):698-702. 10.4097/kjae.2009.56.6.698.
Tracheal intubation via esophagus in a patient with congenital tracheoesophageal fistula : A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. schanesth@lycos.co.kr
- 2Department of Anesthesiology and Pain Medicine, Bucheon Hospital, College of Medicine, Soonchunhyang University, Bucheon, Korea.
- KMID: 2092204
- DOI: http://doi.org/10.4097/kjae.2009.56.6.698
Abstract
- H type of congenital tracheoesophageal fistula (TEF) is rare, occurring approximately once in 100,000 births. The presentation of this anomaly in adults is indeed uncommon. We report a case of a 47-year-old male with congenital TEF dectected during epidural hematoma removal under general anesthesia. Intermittent disappearance of normal capnography, bubbling sound at substernal area, and air leakage at oral cavity observed during manually assisted ventilation, especially during inspiration. We observed a H-type of TEF and tracheal intubation via esophagus in chest CT after operation.
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