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Editor's quiz: GI snapshot
Food debris in trachestomic tube
  1. Michele Marchese1,
  2. Giacomo Cusumano2,
  3. Cristiano Spada1,
  4. Pierluigi Granone2,
  5. Guido Costamagna1
  1. 1Digestive Endoscopy Unit, Catholic University of Rome, Italy
  2. 2General Thoracic Surgery, Catholic University of Rome, Italy
  1. Correspondence to Costamagna, Digestive Endoscopy Unit, Catholic University of Rome, Largo Francesco Vito 1, 00168 Rome, Italy; gcostamagna{at}rm.unicatt.it

http://dx.doi.org/10.1136/gut.2009.178129

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    Clinical presentation

    A 59-year-old man with previous total laryngectomy for squamous cell carcinoma was referred to our department for fever, cough and recurrent pneumonia lasting for the past 5 months. The patient did not receive adjuvant radiochemotherapy and never showed neoplastic recurrence during follow-up. After 3 years, he developed myocardial infarction, he was re-hospitalised in an intensive care unit, and he was treated by mechanical ventilation after tracheostomy tube placement. Three months after discharge, the patient developed progressive dysphagia, coughing and gradual clinical deterioration. He …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.