Tracheoesophageal Fistula due to a Damaged Tracheal Stent
We describe the management of a tracheoesophageal fistula due to a damaged tracheal stent, which was first inserted to treat tracheal stenosis. A 29-year-old woman with a history of treated epilepsy had a seizure and suffered from smoke inhalation during a fire. Breathing difficulties appeared and g...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/926387 |
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| _version_ | 1832561700705927168 |
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| author | Masahiro Kimura Yoshiyuki Kuwabara Hideyuki Ishiguro Tatsuya Tanaka Hiromitsu Takeyama |
| author_facet | Masahiro Kimura Yoshiyuki Kuwabara Hideyuki Ishiguro Tatsuya Tanaka Hiromitsu Takeyama |
| author_sort | Masahiro Kimura |
| collection | DOAJ |
| description | We describe the management of a tracheoesophageal fistula due to a damaged tracheal stent, which was first inserted to treat tracheal stenosis. A 29-year-old woman with a history of treated epilepsy had a seizure and suffered from smoke inhalation during a fire. Breathing difficulties appeared and gradually worsened; consultation was obtained two years afterward. After undergoing a thorough examination, the patient was diagnosed with tracheal strangulation. A noncovered, metallic stent was inserted. When the patient was 37 years old, she was admitted to our hospital for the treatment of a tracheoesophageal fistula. We diagnosed it as a tracheoesophageal fistula due to the collapse of the damaged tracheal stent toward the esophageal side, and we decided to perform a mediastinal tracheostomy. Granulation may be formed in the circumference of a stent that has been present for a prolonged period, and removal of the stent may become difficult. This case suggests that insertion of a noncovered, metallic stent is contraindicated for a benign disease. |
| format | Article |
| id | doaj-art-48c467f30fc74ef795a149c29240bf49 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-48c467f30fc74ef795a149c29240bf492025-02-03T01:24:20ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/926387926387Tracheoesophageal Fistula due to a Damaged Tracheal StentMasahiro Kimura0Yoshiyuki Kuwabara1Hideyuki Ishiguro2Tatsuya Tanaka3Hiromitsu Takeyama4Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, JapanDepartment of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, JapanDepartment of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, JapanDepartment of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, JapanDepartment of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, JapanWe describe the management of a tracheoesophageal fistula due to a damaged tracheal stent, which was first inserted to treat tracheal stenosis. A 29-year-old woman with a history of treated epilepsy had a seizure and suffered from smoke inhalation during a fire. Breathing difficulties appeared and gradually worsened; consultation was obtained two years afterward. After undergoing a thorough examination, the patient was diagnosed with tracheal strangulation. A noncovered, metallic stent was inserted. When the patient was 37 years old, she was admitted to our hospital for the treatment of a tracheoesophageal fistula. We diagnosed it as a tracheoesophageal fistula due to the collapse of the damaged tracheal stent toward the esophageal side, and we decided to perform a mediastinal tracheostomy. Granulation may be formed in the circumference of a stent that has been present for a prolonged period, and removal of the stent may become difficult. This case suggests that insertion of a noncovered, metallic stent is contraindicated for a benign disease.http://dx.doi.org/10.1155/2014/926387 |
| spellingShingle | Masahiro Kimura Yoshiyuki Kuwabara Hideyuki Ishiguro Tatsuya Tanaka Hiromitsu Takeyama Tracheoesophageal Fistula due to a Damaged Tracheal Stent Case Reports in Surgery |
| title | Tracheoesophageal Fistula due to a Damaged Tracheal Stent |
| title_full | Tracheoesophageal Fistula due to a Damaged Tracheal Stent |
| title_fullStr | Tracheoesophageal Fistula due to a Damaged Tracheal Stent |
| title_full_unstemmed | Tracheoesophageal Fistula due to a Damaged Tracheal Stent |
| title_short | Tracheoesophageal Fistula due to a Damaged Tracheal Stent |
| title_sort | tracheoesophageal fistula due to a damaged tracheal stent |
| url | http://dx.doi.org/10.1155/2014/926387 |
| work_keys_str_mv | AT masahirokimura tracheoesophagealfistuladuetoadamagedtrachealstent AT yoshiyukikuwabara tracheoesophagealfistuladuetoadamagedtrachealstent AT hideyukiishiguro tracheoesophagealfistuladuetoadamagedtrachealstent AT tatsuyatanaka tracheoesophagealfistuladuetoadamagedtrachealstent AT hiromitsutakeyama tracheoesophagealfistuladuetoadamagedtrachealstent |