Wrong Tube: Tracheal Obstruction from Megaesophagus
Case Presentation: Our patient presented in respiratory distress with stridor with the chief complaint of “inhaled a piece of pizza.” Foreign body airway obstruction algorithmic evaluation was followed but revealed megaesophagus compressing the trachea. Discussion: Megaesophagus is a disorder charac...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2025-05-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/8575575q |
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| _version_ | 1849235748572626944 |
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| author | Adam Pearl Abishek Roka |
| author_facet | Adam Pearl Abishek Roka |
| author_sort | Adam Pearl |
| collection | DOAJ |
| description | Case Presentation: Our patient presented in respiratory distress with stridor with the chief complaint of “inhaled a piece of pizza.” Foreign body airway obstruction algorithmic evaluation was followed but revealed megaesophagus compressing the trachea. Discussion: Megaesophagus is a disorder characterized by diffuse dilation with decreased peristalsis. It is commonly divided into congenital and acquired etiologies. Most documented cases have been secondary to longstanding achalasia and typically present as heartburn and regurgitation. It is imperative to keep broad differentials and avoid anchoring bias in patient evaluation. This rare case of respiratory distress secondary to a gastrointestinal issue highlights the importance of a broad differential and offers insight into a seldom reported occurrence. |
| format | Article |
| id | doaj-art-103f8360c917449680dd4f4f3d4fa4a9 |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-103f8360c917449680dd4f4f3d4fa4a92025-08-20T04:02:41ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-05-019334935110.5811/cpcem.35603cpcem-9-349Wrong Tube: Tracheal Obstruction from MegaesophagusAdam Pearl0Abishek Roka1HCA Health Care Aventura Hospital, Aventura, FloridaHCA Health Care Aventura Hospital, Aventura, FloridaCase Presentation: Our patient presented in respiratory distress with stridor with the chief complaint of “inhaled a piece of pizza.” Foreign body airway obstruction algorithmic evaluation was followed but revealed megaesophagus compressing the trachea. Discussion: Megaesophagus is a disorder characterized by diffuse dilation with decreased peristalsis. It is commonly divided into congenital and acquired etiologies. Most documented cases have been secondary to longstanding achalasia and typically present as heartburn and regurgitation. It is imperative to keep broad differentials and avoid anchoring bias in patient evaluation. This rare case of respiratory distress secondary to a gastrointestinal issue highlights the importance of a broad differential and offers insight into a seldom reported occurrence.https://escholarship.org/uc/item/8575575q |
| spellingShingle | Adam Pearl Abishek Roka Wrong Tube: Tracheal Obstruction from Megaesophagus Clinical Practice and Cases in Emergency Medicine |
| title | Wrong Tube: Tracheal Obstruction from Megaesophagus |
| title_full | Wrong Tube: Tracheal Obstruction from Megaesophagus |
| title_fullStr | Wrong Tube: Tracheal Obstruction from Megaesophagus |
| title_full_unstemmed | Wrong Tube: Tracheal Obstruction from Megaesophagus |
| title_short | Wrong Tube: Tracheal Obstruction from Megaesophagus |
| title_sort | wrong tube tracheal obstruction from megaesophagus |
| url | https://escholarship.org/uc/item/8575575q |
| work_keys_str_mv | AT adampearl wrongtubetrachealobstructionfrommegaesophagus AT abishekroka wrongtubetrachealobstructionfrommegaesophagus |