Korean J Neurotrauma.  2013 Oct;9(2):146-149. 10.13004/kjnt.2013.9.2.146.

Tracheoesophageal Fistula: A Fatal Complication of Endotracheal Intubation

Affiliations
  • 1Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine (Nursing), The Catholic University of Korea, Daejeon, Korea. yijinseok@hanmail.net

Abstract

Tracheoesophageal fistula (TEF) is a rare disease which develops as a result of congenital or acquired causes. We report on two TEF female stroke patients with associated endotracheal intubation. Endotracheal intubation was kept for 13-14 days because of decreased mentality by intracranial hemorrhage. Recurrent pneumonia was a predominant symptom. Computed tomography and bronchoscopy were used to diagnose TEF. Both patients expired by sepsis and recurrent pneumonia before definite TEF treatment. The excessive dilatation of the cuff balloon of the endotracheal tube was considered one of the main causes of TEF. Prevention is most important and early treatment is required in this fatal disease.

Keyword

Tracheoesophageal fistula; Endotracheal intubation; Pneumonia

MeSH Terms

Bronchoscopy
Dilatation
Female
Humans
Intracranial Hemorrhages
Intubation, Intratracheal*
Pneumonia
Rare Diseases
Sepsis
Stroke
Tracheoesophageal Fistula*
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