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Tracheoesophageal Fistula in a COVID-19 Ventilated Patient: A Challenging Therapeutic Decision
- Source :
- Case Reports in Surgery, Vol 2021 (2021), Case Reports in Surgery
- Publication Year :
- 2021
- Publisher :
- Hindawi Limited, 2021.
-
Abstract
- COVID-19 associated severe respiratory failure frequently requires admission to an intensive care unit, tracheal intubation, and mechanical ventilation. Among the risks of prolonged mechanical ventilation under these conditions, there is the development of tracheoesophageal fistula. We describe a case of a severe COVID-19 associated respiratory failure, who developed a tracheoesophageal fistula. We hypothesized that one of the mechanisms for tracheoesophageal fistula, along with other local and general risk factors, is the local infection due to the location of the virus itself in the tracheobronchial tree. The patient was managed successfully with surgical intervention. This case highlights the increased risk of this potentially life-threatening complication among the COVID-19 patient cohort and suggests a management strategy.
- Subjects :
- medicine.medical_specialty
RD1-811
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
Case Report
Tracheoesophageal fistula
law.invention
03 medical and health sciences
0302 clinical medicine
law
medicine
Pharmacology (medical)
Intensive care medicine
Mechanical ventilation
business.industry
Tracheal intubation
medicine.disease
Intensive care unit
Surgery
030228 respiratory system
Respiratory failure
030220 oncology & carcinogenesis
Cohort
Complication
business
Subjects
Details
- ISSN :
- 20906919 and 20906900
- Volume :
- 2021
- Database :
- OpenAIRE
- Journal :
- Case Reports in Surgery
- Accession number :
- edsair.doi.dedup.....40f894ecefd70987031ee27c1a8d31f5