Acquiring the Diagnosis of an Acquired Tracheoesophageal Fistula with EtCO 2 : A Case Discussion with Review of the Literature

Acquired tracheoesophageal fistula (TEF) is a rare complication of esophageal or lung cancer. A 57-year-old male presented with complaints of vomiting, cough, 20 lb weight loss, and progressive dysphagia. Early laryngoscopy and CT chest showed a normal pharynx with an irregular thickness of the thor...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Case reports in gastrointestinal medicine 2023, Vol.2023, p.9437558
Hauptverfasser: Borja, Janine Beatrice, Patel, Ghanshyam, Baloch, Luqman, Aqeel, Ammar, Chand, Mool, Korsapati, Hariprasad, Dawood, Altaf, Khan, Naser
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Acquired tracheoesophageal fistula (TEF) is a rare complication of esophageal or lung cancer. A 57-year-old male presented with complaints of vomiting, cough, 20 lb weight loss, and progressive dysphagia. Early laryngoscopy and CT chest showed a normal pharynx with an irregular thickness of the thoracic esophagus. The upper gastrointestinal endoscopy (UGIE) and upper endoscopic ultrasound (EUS) revealed a hypoechoic mass evolving as complete obstruction. During the procedure, minimal CO was used for insufflation; however, when attempts were made to traverse the obstruction, capnography revealed an end-tidal CO (EtCO ) estimating 90 mmHg indicating possible TEF. This case depicts the use of capnography during UGIE in diagnosing an acquired TEF.
ISSN:2090-6528
DOI:10.1155/2023/9437558