Tracheal intubation via esophagus in a patient with congenital tracheoesophageal fistula : A case report .

Chung,  Jin Hun; Song,  Sang Woo; Ahn,  Ki Ryang; Kim,  Chun Sook; Kang,  Kyu Sik; Yoo,  Sie Hyeon; Chung,  Ji Won; Koo,  Ja Ug

doi:2009.56.6.698

Case Report

Korean Journal of Anesthesiology 2009;56(6):698-702.
DOI: https://doi.org/10.4097/kjae.2009.56.6.698

Tracheal intubation via esophagus in a patient with congenital tracheoesophageal fistula : A case report .

Jin Hun Chung, Sang Woo Song, Ki Ryang Ahn, Chun Sook Kim, Kyu Sik Kang, Sie Hyeon Yoo, Ji Won Chung, Ja Ug Koo

¹Department of Anesthesiology and Pain Medicine, Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. schanesth@lycos.co.kr
²Department of Anesthesiology and Pain Medicine, Bucheon Hospital, College of Medicine, Soonchunhyang University, Bucheon, Korea.

Abstract

H type of congenital tracheoesophageal fistula (TEF) is rare, occurring approximately once in 100,000 births. The presentation of this anomaly in adults is indeed uncommon. We report a case of a 47-year-old male with congenital TEF dectected during epidural hematoma removal under general anesthesia. Intermittent disappearance of normal capnography, bubbling sound at substernal area, and air leakage at oral cavity observed during manually assisted ventilation, especially during inspiration. We observed a H-type of TEF and tracheal intubation via esophagus in chest CT after operation.

Key Words: Airway; Difficult intubation; Tracheoesophageal fistula