TY - JOUR AU - Rana, Ramesh AU - Sapkota, Rikesh AU - Shakya, Binesh AU - Gautam, Samir PY - 2018/12/31 Y2 - 2024/03/29 TI - Prolonged Intubation Induced Tracheoesophageal Fistula in Suspected Meningococcal Sepsis with ARDS: A Case Report JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 56 IS - 214 SE - Case Reports DO - 10.31729/jnma.3890 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/3890 SP - 980-982 AB - <p class="doublespace">Tracheoesophageal fistula is an abnormal communication between trachea and esophagus. Benign acquired types are rare with the incidence of less than 1%. Prolonged endotracheal intubation remains the most common cause. We are reporting a 28 years old female patient presented with chief complaint of a cough after each meal intake in the outpatient clinic. She had a recent history of admission in the intensive care unit with prolonged intubation (11 days). Her general physical examination, laboratory examination, and chest x-ray were normal. Esophagogastroscopy was performed and revealed communication between upper esophagus and trachea approximately at 14-17cm embedded in longitudinal mucosal folds of the esophagus. She was referred to the higher center for surgical repair. Though, a rare complication, high suspicion is necessary to accurately diagnose the disease in a patient with the history of prolonged intubation.</p> ER -