Chronic Dysphagia due to Esophageal Stenosis with Tracheoesophageal Fistula and Foreign Body Impaction: Case Report
DOI:
https://doi.org/10.59680/anestesi.v4i2.2381Keywords:
Dysphagia Chronic, Esophageal Stenosis, Foreign Body, Post-Tuberculosis, Tracheoeesophageal FistulasAbstract
Chronic dysphagia is a common clinical complaint frequently associated with structural abnormalities of the esophagus. Esophageal stenosis is an important cause of chronic dysphagia and increases the risk of foreign body impaction. This condition may be related to underlying pathological processes, including tracheoesophageal fistula (TEF). Mr. A, 38-year-old man presented with chronic dysphagia for one year accompanied by dysphonia. Due to persistent swallowing difficulty, the patient developed a habit of ingesting passion fruit seeds to facilitate food intake. An endoscopic examination performed six months earlier overseas revealed mid-to-distal esophageal stenosis, and a gastrostomy was performed. Abdominal CT scan and chest radiography showed no abnormalities. The patient later presented with acute symptoms due to mangosteen seed impaction in the esophagus. He had a history of pulmonary tuberculosis and had completed antituberculosis therapy. Esophagography demonstrated a tracheoesophageal fistula. This case illustrates esophageal stenosis with TEF as a cause of chronic dysphagia and a predisposing factor for foreign body impaction, possibly related to chronic post-tuberculous inflammation. Management requires a multidisciplinary approach. Endoscopic dilation is the primary therapy for esophageal stenosis, while surgery is definitive for benign.
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