Tracheoesophageal Fistula Complicated by Iatrogenic Gastric Perforation in a Low Birth Weight Neonate

  • Anju Gupta Department of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi
  • Dimple Pande Department of Anesthesiology and Intensive Care, VMMC and Safdarjung Hospital, New Delhi, India
  • Nishtha Kachru Department of Anesthesiology and Intensive Care, VMMC and Safdarjung Hospital, New Delhi, India
  • Ahtesham Khan Department of Anesthesiology and Intensive Care, VMMC and Safdarjung Hospital, New Delhi, India
DOI: https://doi.org/10.33314/jnhrc.v18i2.2408

Abstract

Type-III tracheoesophageal fistula is the commonest type of fistula where upper pouch is blind and distal oesophageal pouch communicates with trachea. In this condition, gastric distension is a common manifestation which can be worsened by positive pressure ventilation. Pulmonary pathology may necessitate ventilation with high peak airway pressures which may rarely lead to gastric perforation with serious consequences. We are reporting such a case of gastric perforation during ventilatory management for fistula repair which needed surgical repair.
Keywords: Airway management; esophageal atresia; gastric perforation; tracheo-oesophageal fistula.

Published
2020-09-08
How to Cite
GuptaA., PandeD., KachruN., & KhanA. (2020). Tracheoesophageal Fistula Complicated by Iatrogenic Gastric Perforation in a Low Birth Weight Neonate. Journal of Nepal Health Research Council, 18(2), 324-326. https://doi.org/10.33314/jnhrc.v18i2.2408
Issue
Vol. 18 No. 2 (2020): Vol. 18 No. 2 Issue 47 Apr-Jun 2020
Section
Case Report

Copyright (c) 2020 Anju Gupta, Dimple Pangtey, Nistha Kachru, ahtesham khan

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