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The diagnosis and management of an iatrogenic esotracheal fistula in a pediatric patient: Case report

Straticiuc-Ciongradi Iulia (“St. Mary” Children’s Emergency Hospital, Department of Pediatric Surgery, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania)
Rusu Daniela (“St. Mary” Children’s Emergency Hospital, ENT Department, Iasi, Romania)
Olaru Claudia (“St. Mary” Children’s Emergency Hospital, Pediatrics Department, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania)
Gimiga Nicoleta (“St. Mary” Children’s Emergency Hospital, Pediatrics Department, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania)
Diaconescu Smaranda (“St. Mary” Children’s Emergency Hospital, Pediatrics Department, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania)
Barliba Ioan (“Alexandru Ioan Cuza” University, Iasi Romania + “Sf. Spiridon” University Emergency Clinical Hospital, Iasi, Romania)
Aprodu Gabriel Sandu (“St. Mary” Children’s Emergency Hospital, Department of Pediatric Surgery, Iasi, Romania + “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania)

Iatrogenic esotracheal fistula in pediatric patients is an extremely rare complication, and appears either because of the pressure exercised by the tracheostomy cannula or in patients that are long-term bearers of esogastric tubes, which will cause, together with the cannula, ischemic injuries and necrosis of the tissue. The treatment of these lesions is controversial. The paper presents the management of a pediatric patient with an acquired esotracheal fistula, secondary to a tracheostomy.

Keywords: iatrogenic, fistula, tracheostomy, esotracheal, pediatric