Case Histories

Tracheoesophageal Fistula and Massive Pneumoperitoneum After Prolonged Mechanical Ventilation

Authors: P DILEEP KUMAR MD, JON RAINEY MD, BERNARD KOTTON MD

Abstract

ABSTRACT:We describe a patient who had two unusual complications of prolonged mechanical ventilation—tracheoesophageal fistula and pneumoperitoneum—with a fatal outcome. Recurrent pulmonary aspirations and massive abdominal distention in the setting of longstanding artificial ventilation should alert the physician to these possibilities.

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References