Delayed diagnosis of esophageal foreign body: A case report

Yahyaoui, Salem; Jahaouat, Imen; Brini, Inès; Sammoud, A.

doi:10.1016/j.ijscr.2017.05.028

Cited by 9 publications

(12 citation statements)

References 15 publications

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“…Most ingested foreign bodies and button battery are lodged beneath the cricopharyngeal muscle or at the anatomical areas of esophageal narrowing, including the aortic arch level, left main bronchus level, and lower esophageal sphincter [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

A2 Years Old Boy with Recurrent Tracheoesophageal Fistula After Surgical Removal of an Esophageal Button Battery

2022

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Patient: Male, 2-year-old Final Diagnosis: Button battery induced tracheoesophageal fistula and recurrence Symptoms: Cough • difficulty in swallowing • irritability • lethargy • vomiting Medication: — Clinical Procedure: Buttery removal with tracheoesophageal fistula closure through cervical incision • exploration with esophagostomy and gastrostomy • recurrent tracheoesophageal fistula repair and esophageal anastomosis through thoracotomy Specialty: Otolaryngology • Pediatrics and Neonatology • Surgery Objective: Unusual clinical course Background: Among the pediatric population, button batteries ingestion is a significant health risk. The main treatment of ingested esophageal button batteries is urgent endoscopic removal. Missed or delayed diagnosis results in serious complications and outcomes. In the literature, high morbidity and mortality have been described in cases of button battery ingestion. By reporting this case we aim to encourage physicians to raise their suspicion of foreign body ingestion in similar pediatric cases and to review the different management approaches in the case of foreign body-induced tracheoesophageal fistula. Case Report: A 2-year-old boy was referred to us with difficulty in swallowing solids and liquids, with tactile fever for 1 month. A chest X-ray showed a radiopaque foreign body consistent with a button battery. The battery was removed through surgical cervical incision followed by closure of an identified tracheoesophageal fistula, cervical loop esophagostomy, and gastrostomy. After 6 months of follow-up and gastrostomy feeding, recurrence of the tracheoesophageal fistula was identified, for which surgical closure and esophageal anastomosis were performed. A postoperative esophagogram done on day 7 showed no leak or evidence of tracheoesophageal fistula; the patient started oral feeding and the gastrostomy tube was removed. Conclusions: Even in the absence of witnessed ingestion, the persistent nonspecific symptoms must raise the suspicion of foreign body ingestion in the pediatric age group. Failure of endoscopic removal of the battery is a possibility that need to be included in management algorithms. Surgical repair is the most frequently described approach for foreign body-induced tracheoesophageal fistula repair.

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Section: Discussionmentioning

confidence: 99%

A2 Years Old Boy with Recurrent Tracheoesophageal Fistula After Surgical Removal of an Esophageal Button Battery

2022

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“…Thủng thực quản là biến chứng đe dọa tính mạng và thường thấy ở dị vật sắc nhọn và xương động vật (xương cá). Các biến chứng bao gồm loét thực quản, rách thực quản, thủng thực quản, áp xe do dị vật, … [6]…”

Section: Giới Thiệuunclassified

Báo Cáo Trường Hợp Dị Vật Hiếm Gặp Ở Sụn Phễu Gây Áp Xe Sụn Phễu

Công¹

2022

VMJ

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Tháng 5/ 2021, bệnh nhân nam, 55 tuổi, nhập viện vì nuốt đau. Bệnh nhân khai có nuốt ăn cá và hóc xương, nuốt đau, ngày càng tăng, ăn uống khó. Nội soi thực quản ống mềm ghi nhận phù nề vùng niêm mạc sụn phễu bên trái và 1 lổ thủng trên niêm mạc. CTscan vùng cổ ghi nhận thấy dị vật cản quang dạng đường thẳng, dài 2,8cm, nằm trên mức sụn nhẫn. Bệnh nhân được gây mê, nội soi đánh giá vùng hạ họng thanh quản dưới nội soi thấy phù nề vùng xoang lê trái, có 1 lỗ dò nghi ngờ đường vào của dị vật. Kết hợp nội soi, phẫu thuật viên sử dụng dụng cụ vi phẫu mở rộng đường vào, thám sát đáy vết thương thấy dị vật xương cá.

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“…Negative findings on X-ray despite persistent symptoms may warrant further computed tomography or other contrasted imaging, especially for cases that involve radiolucent foreign bodies such as peanuts. 4…”

Section: Dear Editormentioning

confidence: 99%

Foreign Body Ingestion in Children: The Role of X-ray

Mohamad¹

2019

Oman Med J

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Delayed diagnosis of esophageal foreign body: A case report

Cited by 9 publications

References 15 publications

A2 Years Old Boy with Recurrent Tracheoesophageal Fistula After Surgical Removal of an Esophageal Button Battery

A2 Years Old Boy with Recurrent Tracheoesophageal Fistula After Surgical Removal of an Esophageal Button Battery

Báo Cáo Trường Hợp Dị Vật Hiếm Gặp Ở Sụn Phễu Gây Áp Xe Sụn Phễu

Foreign Body Ingestion in Children: The Role of X-ray

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