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American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0000000000000042
Case Reports

An Autopsy Case of Iatrogenic Tracheoesophageal Fistula Secondary to Tracheostomy

Menezes, Ritesh G. MD, DNB*; Pant, Sadip MD; Prasad, Sampath Chandra MS, DNB; Rao Padubidri, Jagadish MD, DNB§; Prabhu, Prashanth MS; Monteiro, Francis N.P. MD, DNB; Kanchan, Tanuj MD§; Yallapur Prahalad, Raghavendra Babu MD§; Bhagavath, Prashantha MD, DNB; Sathyanarayan Achar, Manjunath MD; Lasrado, Savita MS#

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Abstract

Tracheoesophageal fistula (TEF) is an uncommon but life-threatening sequel of prolonged use of a cuffed tracheostomy tube. We describe a patient who developed a TEF after a tracheostomy done for management of head injury due to a road traffic mishap. The patient subsequently died of sepsis after bilateral bronchopneumonia. To the best of our knowledge, this is the first autopsy case of iatrogenic TEF after tracheal intubation reported in forensic literature.

Copyright © 2014 by Lippincott Williams & Wilkins

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