Broncho-gastric fistula complicating mechanical ventilation

Broncho-gastric fistula complicating mechanical ventilation

Published: 06 Dec 2016

© Anaesthesia Cases / 2016-0257 / ISSN 2396-8397

Authors

Dr Hjördis Osk Atladottir [1]
Dr Niels Kim Schønemann [1]
  • [1] Medical Doctor, Department of anaesthesiology and intensive care, Aarhus university hospital, Aarhus, Denmark

Summary

A broncho-gastric fistula is a communication between a bronchus and the stomach and is an extremely rare complication following an oesophagectomy.  A patient was admitted to the intensive care unit with acute respiratory distress.  He had previously undergone a gastric pull-up and received radiotherapy for oesophageal cancer.  Because of a previously undiagnosed broncho-gastric fistula, there was considerable air leakage during mechanical ventilation that resulted in repeated tracheal intubations during an acute phase, in an unstable patient.

To the best of our knowledge, there are no previous reports of a fistula appearing so many years after the original surgery. We emphasize the need to consider the possibility of late complications in patients that have received surgery and/or radiation therapy to the thoracic area.

How to Submit a Case Report

Only registered users can submit case reports. Registration is free.

Current AAGBI members are automatically registered and just need to log onto the site using either their membership number or email address and click the ‘Submit a Case’ button
www.casereports.org/case-reports/user/login

If you are not an AAGBI member, please apply to become a registered user here: 
www.casereports.org/user/register

If you require assistance, please view our FAQs:
www.casereports.org/faq