The diagnosis and management of an iatrogenic esotracheal fistula in a pediatric patient: Case report

Author:

Straticiuc-Ciongradi Iulia1,Rusu Daniela2,Olaru Claudia3,Gimiga Nicoleta3,Diaconescu Smaranda3,Barliba Ioan4,Aprodu Gabriel1

Affiliation:

1. “St. Mary” Children’s Emergency Hospital, Department of Pediatric Surgery, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania

2. “St. Mary” Children’s Emergency Hospital, ENT Department, Iasi, Romania

3. “St. Mary” Children’s Emergency Hospital, Pediatrics Department, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania

4. “Alexandru Ioan Cuza” University, Iasi Romania + “Sf. Spiridon” University Emergency Clinical Hospital, Iasi, Romania

Abstract

Iatrogenic esotracheal fistula in pediatric patients is an extremely rare complication, and appears either because of the pressure exercised by the tracheostomy cannula or in patients that are long-term bearers of esogastric tubes, which will cause, together with the cannula, ischemic injuries and necrosis of the tissue. The treatment of these lesions is controversial. The paper presents the management of a pediatric patient with an acquired esotracheal fistula, secondary to a tracheostomy.

Publisher

National Library of Serbia

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology

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