Fatal haemorrhage from an aortoesophageal fistula secondary to button battery ingestion in a 15-month-old child. Case report and literature review

Karnecki, Karol; Pieśniak, Dorota; Jankowski, Zbigniew; Gos, Tomasz; Kaliszan, Michał

doi:10.1016/j.legalmed.2020.101707

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…The boy survived but required thoracotomy for removal [24]. Several publications of prolonged BBI report fatalities due to trachea-esophageal fistulation or sudden hemorrhage after vasculo-esophageal fistulation [3,[25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Chronic stridor in a toddler after ingestion of a discharged button battery: a case report

Oftring,

Mehrtens,

Mollin

et al. 2024

BMC Pediatr

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Background Button battery (BB) ingestions (BBI) are increasingly prevalent in children and constitute a significant, potentially life-threatening health hazard, and thus a pediatric emergency. Ingested BBs are usually charged and can cause severe symptom within 2 h. Discharged BBs ingestion is very rare and protracted symptom trajectories complicate diagnosis. Timely imaging is all the more important. Discharged BBs pose specific hazards, such as impaction, and necessitate additional interventions. Case presentation We present the case of a previously healthy 19-month-old girl who was admitted to our pediatric university clinic in Germany for assessment of a three-month history of intermittent, mainly inspiratory stridor, snoring and feeding problems (swallowing, crying at the sight of food). The child’s physical examination and vital signs were normal. Common infectious causes, such as bronchitis, were ruled out by normal lab results including normal infection parameters, negative serology for common respiratory viruses, and normal blood gas analysis, the absence of fever or pathological auscultation findings. The patient’s history contained no evidence of an ingestion or aspiration event, no other red flags (e.g., traveling, contact to TBC). Considering this and with bronchoscopy being the gold standard for foreign body (FB) detection, an x-ray was initially deferred. A diagnostic bronchoscopy, performed to check for airway pathologies, revealed normal mucosal and anatomic findings, but a non-pulsatile bulge in the trachea. Subsequent esophagoscopy showed an undefined FB, lodged in the upper third of the otherwise intact esophagus. The FB was identified as a BB by a chest X-ray. Retrieval of the battery proved extremely difficult due to its wedged position and prolonged ingestion and required a two-stage procedure with consultation of Ear Nose Throat colleagues. Recurring stenosis and regurgitation required one-time esophageal bougienage during follow-up examinations. Since then, the child has been asymptomatic in the biannual endoscopic controls and is thriving satisfactorily. Conclusion This case describes the rare and unusual case of a long-term ingested, discharged BB. It underscores the need for heightened vigilance among healthcare providers regarding the potential hazards posed by discharged BBIs in otherwise healthy children with newly, unexplained stridor and feeding problems. This case emphasizes the critical role of early diagnostic imaging and interdisciplinary interventions in ensuring timely management and preventing long-term complications associated even to discharged BBs.

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Section: Discussionmentioning

confidence: 99%

Chronic stridor in a toddler after ingestion of a discharged button battery: a case report

Oftring,

Mehrtens,

Mollin

et al. 2024

BMC Pediatr

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“…Kurowski et al ont présenté l'IRM thoracique comme un examen de seconde ligne uniquement si le scanner thoracique montre une lésion grave ou une perforation de l'oesophage, avec répétition tous les cinq à sept jours [98]. Dans ce cas, l'IRM thoracique est présentée comme un examen de suivi et pas comme un examen diagnostique.…”

Section: Place De L'irm Thoracique/scanner Thoracique Dans La Prise E...unclassified

Piles boutons : de nouveaux algorithmes de prise en charge

Labadie,

ChristineTournoud,

Pitard

2023

Toxicologie Analytique et Clinique

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“…1 ). Dies kann im anliegenden Gewebe zu schweren Laugenverätzungen mit möglicher Perforation (je nach Lage der Batterie) in das Mediastinum, das Tracheobronchialsystem oder in große Blutgefäße führen 5 , 6 , 7 . In einem Tierexperiment stieg der pH-Wert in der Speiseröhre am Minuspol der Knopfbatterie innerhalb von einer Stunde auf Werte zwischen 9 und 10 an.…”

Section: Introductionunclassified

Fallberichte: Kinder mit tracheoösophagealer Fistel nach Knopfbatterieningestion

Keil¹,

Avşar²,

Beck³

et al. 2022

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungFremdkörperingestionen bei Kindern nehmen stetig zu – dabei werden u. a. Knopfbatterien sehr häufig verschluckt. Das weitverbreitete Modell CR2032 führt bereits nach kurzer Zeit zu schweren Laugenverätzungen mit möglicher Perforation in benachbarte Organe. Dieser Fallserienbericht stellt 4 Kinder vor, die nach Ingestion von Knopfbatterien eine tracheoösophageale Fistel entwickelten und in unserer Kinderklinik interdisziplinär versorgt wurden.

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Fatal haemorrhage from an aortoesophageal fistula secondary to button battery ingestion in a 15-month-old child. Case report and literature review

Cited by 6 publications

References 19 publications

Chronic stridor in a toddler after ingestion of a discharged button battery: a case report

Chronic stridor in a toddler after ingestion of a discharged button battery: a case report

Piles boutons : de nouveaux algorithmes de prise en charge

Fallberichte: Kinder mit tracheoösophagealer Fistel nach Knopfbatterieningestion

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