A Case of Pediatric Tracheal Stenosis Secondary to Chronic Retching in the Setting of Bulimia Nervosa.

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This report presents a case of acquired tracheal stenosis in a pediatric patient without a history of prolonged intubation. A 14-year-old female presented with a chief complaint of biphasic stridor and a medical history remarkable for bulimia nervosa and one year of self-induced vomiting. Endoscopic evaluation revealed Grade three tracheal stenosis. Lab work was unrevealing for acute inflammatory process nor vasculitis. Pathology was unremarkable. The patient tolerated primary dilation and second look did not reveal further stenosis. Her extensive workup failed to reveal an alternative etiology with a working hypothesis that the stenosis was a result of chronic retching due to bulimia.