Tracheoesophageal Fistula due to a Damaged Tracheal Stent.
Tracheoesophageal Fistula due to a Damaged Tracheal Stent.
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DOI：
10.1155/2014/926387
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发表时间：
2014
影响因子：
0.6
通讯作者：
Takeyama H
中科院分区：
文献类型：
--
作者：
Kimura M;Kuwabara Y;Ishiguro H;Tanaka T;Takeyama H
我们描述了由于气管支架受损而导致的气管食管瘘的处理，这种支架最初是用来治疗气管狭窄的。一名29岁的女性，有癫痫治疗史，癫痫发作，在火灾中吸入烟雾。出现呼吸困难，并逐渐恶化；两年后进行会诊。在接受彻底检查后，患者被诊断为气管勒死。植入了一种无覆盖的金属支架。患者37岁时因气管食管瘘入院治疗。我们诊断为气管食管瘘，原因是受损的气管支架向食道一侧坍塌，我们决定进行纵隔气管切开术。长时间放置的支架周围可能形成肉芽，支架的取出可能会变得困难。本病例提示良性疾病不适宜置入无覆膜金属支架。
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.