Penetrating shrapnel injury to the chest presenting as a delayed tracheoesophageal fistula (TEF). A case report

Penetrating shrapnel injury to the chest presenting as a delayed tracheoesophageal fistula (TEF). A case report

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Tracheo-esophageal fistulae (TEF) due to trauma are rare.We report a case of a delayed TEF caused by a shrapnel from a Automated and Human Interaction in Written Discourse: A Contrastive Parallel Corpus-based Investigation of Metadiscourse Features in Machine-Human Translations blast.A 25-year-old male was admitted to the hospital after sustaining a blast injury.A contrast CT scan of the chest and neck revealed the presence of metallic shrapnel in close proximity to the tracheo-esophageal groove at the level of the thoracic inlet.

Bronchoscopy revealed 0.5 cm tear in the membranous trachea while esophagoscopy and contrast swallow were normal.Coughs after starting fluid intake triggered a repeat endoscopy that showed a large TEF at 22 cm from the incisors.He underwent surgical repair through a collar incision and limited sternotomy.

The TEF extended for 2 cm.The esophagus was repaired in two layers, the membranous trachea was sutured primarily, and an interposition strap muscle flap was placed.A contrast swallow on postoperative day 7 revealed the presence of a small leak into the trachea that was treated conservatively.Traumatic TEF are rare and should be suspected in Sovereign CDS Premiums’ Reaction to Macroeconomic News: An Empirical Investigation patients with injuries to proximal structures.

Delay in diagnosis and appropriate management can conceivably lead to death.Keywords: Penetrating, Trauma, Tracheoesophageal fistula, Tracheobronchial, Nonmalignant.