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Barium aspiration through a tracheo-oesophageal fistula caused by percutaneous tracheostomy
  1. Moayad Majed Alqurashi1,
  2. Majed Ayed Alshammari1,
  3. Hamdan Al-Jahdali2,3
  1. 1Department of Internal Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  2. 2Division of Pulmonary Services, Department of Internal Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  3. 3College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  1. Correspondence to Dr Moayad Majed Alqurashi, moayad.alqurashi{at}

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A healthy 43-year-old gravida 14, para 12+1 woman, developed Sheehan syndrome followed by disseminated intravascular coagulopathy and sepsis post-Caesarean section. Her postoperative course was further complicated by a hospital-acquired pneumonia for which she required endotracheal intubation and mechanical ventilation. Enteral feeding and medications were administered via a nasogastric tube (NGT). After three failed attempts at extubation, a tracheostomy was inserted percutaneously. Over the next 2 weeks, she improved and was successfully weaned off ventilatory support. She was transferred to a medical ward with the tracheostomy in situ with minimum oxygen requirement.

Her rehabilitation progressed slowly while the NGT was kept in situ …

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