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Korean J Anesthesiol. 2009 Jun;56(6):698-702. Korean. Case Report.
Chung JH , Song SW , Ahn KR , Kim CS , Kang KS , Yoo SH , Chung JW , Koo JU .
Department of Anesthesiology and Pain Medicine, Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. schanesth@lycos.co.kr
Department of Anesthesiology and Pain Medicine, Bucheon Hospital, College of Medicine, Soonchunhyang University, Bucheon, Korea.
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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