AI Article Synopsis
- General surgeons often assist with ingested foreign bodies, including rare cases where endotracheal tubes are accidentally swallowed during airway management.
- In a reported case, an endotracheal tube was ingested during an emergency intubation for a head injury and remained undetected for 2 years until imaging for a different injury was done.
- Attempts to remove the tube endoscopically failed due to its stiffness, but surgical extraction through a gastrotomy was performed successfully, highlighting the importance of awareness among trauma surgeons regarding this potential complication.
Article Abstract
General surgeons are often consulted for assistance in the management of ingested foreign bodies. Deglutition of an endotracheal tube is an unusual complication of airway management. In these cases, the artificial airway is "lost" when it becomes lodged deep into the esophagus. Endoscopic extraction has been described as therapeutic. We report a case in which prehospital endotracheal intubation attempt for the management of closed head injury resulted in a swallowed endotracheal tube. The tube remained undetected until radiographs were performed for a second unrelated traumatic event 2 years later. Endoscopic extraction was unsuccessful, due to rigidity of the tube. Surgical extraction via gastrotomy was uneventful. Surgeons involved in trauma and other emergency settings should be aware of this complication and options in management.
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