Massive hemorrhage after Kasai portoenterostomy in a patient with a congenital extrahepatic portosystemic shunt, malrotation and a double aortic arch: report of a case

Takazawa, Shinya; Uchida, Hiroo; Kawashima, Hiroshi; Tanaka, Yujiro; Sato, Kaori; Jimbo, Takahiro; Deie, Kyoichi; Koiwai, Kazuki; Nomura, Koji; Iwanaka, Tadashi

doi:10.1007/s00595-013-0605-6

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…[ 1 ] DAA may be associated with cardiac diseases or noncardiac diseases. [ 2 3 ] In our patient, the child had tracheal compression due to the DAA leading to stridor and repeated respiratory infection. Fiberoptic bronchoscope (FB) detected the problem and subsequent confirmation was established with CT scan.…”

Section: Discussionmentioning

confidence: 87%

Double aortic arch as a source of airway obstruction in a child

2015

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Section: Discussionmentioning

confidence: 87%

Double aortic arch as a source of airway obstruction in a child

2015

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“…This is because of the different aetiologias in pediatric and adult patients; the most common cause in adults is thoracic aortic aneurysm, which is rare among children. Endoscopy findings varied in reported cases, and included pulsatile or fresh bleeding [ 11 , 12 , 40 ], pulsatile submucosal hematoma [ 44 ], a non-pulsatile purple mass protruding into the esophagus in the aneurysm [ 36 ], esophageal ulcer with [ 18 ] or without bleeding [ 13 ], thickened mucosa [ 21 ], and an odd purple streak [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A 2-Year-Old Boy Who Developed an Aortoesophageal Fistula After Swallowing a Button Battery, Managed Using a Novel Procedure with Vascular Plug Device as a Bridge to Definitive Surgical Repair

et al. 2021

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Patient: Male, 2-year-old Final Diagnosis: Aortoesophageal fistula Symptoms: Esophageal foreign body • gastrointestinal bleeding Medication: — Clinical Procedure: — Specialty: Gastroenterology and Hepatology • Pediatrics and Neonatology Objective: Rare disease Background: Button batteries (BBs) can be inhaled or swallowed accidentally, particularly by infants and children, who can present as a surgical emergency with a fatal outcome. This report is of a case of a 2-year-old boy who developed an aortoesophageal fistula (AEF) after swallowing a button battery and was successfully treated using a novel vascular plug device as a bridge to definitive surgical repair. AEF is diagnosed using computed tomography angiography (CTA), after laparotomy, and using aortography. Aortic endovascular stenting and vascular occluder placement is a minimally invasive emergency option until definitive treatment can be provided. The surgical options include repair the aortic defect primarily, or the diseased segment of the aorta is replaced with a graft. Case Report: A 2-year-old boy presented with hematemesis 9 days after ingestion of a button battery, which was removed endoscopically 16 hours after the incident. The patient was resuscitated aggressively and diagnosed to have AEF using computed tomography angiography (CTA). The aorta was successfully repaired using a vascular plug device, which kept the patient safe until the definitive surgical treatment was done 2 months later. The defect was repaired with direct anastomosis and completed with a patch of bovine pericardium, as well as closure of the fistula from the esophageal side with stitches. Conclusions: This report presents a rare but previously reported complication of swallowing a button battery, resulting in an aortoesophageal fistula. The aorta was successfully repaired using a vascular plug as a minimally invasive emergency option, which is considered as a lifesaving procedure and a bridge for definitive repair.

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“…16 пациентов (47 % случаев) из 34 умерли в первые несколько дней после возникновения клиники массивного кровотечения из верхних отделов желудочно-кишечного тракта. В значительной мере истории болезни умерших пациентов напоминают описанный нами случай, поэтому мы больше внимания уделили работам, описывающим успешные результаты лечения [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Детальный анализ всех литературных данных мы намерены провести в другой работе под рубрикой «Обзор литературы».…”

Section: Discussionunclassified

“…С этой целью чаще используют резекцию аневризмы с пластикой дефекта синтетическими протезами либо эндоваскулярное стентирование этого сегмента [4,5,9,21,22]. В случаях, когда дефект незначительный, хирурги ограничиваются разобщением свища и ушиванием дефекта аорты и пищевода [3,10,11,13]. Эта зона должна быть усилена васкуляризированной тканью, такой как фрагмент плевры [3], перикарда [1], межреберной мышцы [2] или сальника [14,21], либо ксеноперикардом [6] или синтетическим материалом [8,12,14].…”

Section: Discussionunclassified

“…Высокая летальность в большей степени обусловлена как отсутствием информированности врачей о существовании подобной болезни у детей, так и отсутствием опыта в лечении. Тем не менее в литературе нам удалось обнаружить описание 17 случаев успешного лечения детей с АЭФ [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Это и побудило нас проанализировать свой негативный опыт и подробно изучить данные литературы.…”

Section: Introductionunclassified

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Fatal bleeding in a 1.5-year-old child with aortoesophageal fistula: case report and review of the literature

Bataev

Магомедович²,

Magomedov³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Aortoesophageal fistula in children is a very uncommon disease, which in most cases leads to death during the first days from the moment it occurs. Its high mortality is due to the lack of knowledge among doctors about the similarity of the disease in children and the lack of experience treating it. This paper presents the case history of a 1.5-year-old child who was admitted with bleeding from the upper gastrointestinal tract and died 36 hours after admission due to continued massive bleeding at the diagnostic measure stages. An autopsy revealed an aortic aneurysm with a diameter of 1.5 cm, which penetrated the esophageal lumen and formed an aortoesophageal fistula. This article analyzes the treatment results of 17 cases of successfully treating children with aortoesophageal fistula, which we found in the literature. It describes the leading causes and mechanisms of the development of this pathology in children. Also, the article describes the diagnostic and treatment methods for children with aortoesophageal fistula.

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Massive hemorrhage after Kasai portoenterostomy in a patient with a congenital extrahepatic portosystemic shunt, malrotation and a double aortic arch: report of a case

Cited by 3 publications

References 10 publications

Double aortic arch as a source of airway obstruction in a child

Double aortic arch as a source of airway obstruction in a child

A 2-Year-Old Boy Who Developed an Aortoesophageal Fistula After Swallowing a Button Battery, Managed Using a Novel Procedure with Vascular Plug Device as a Bridge to Definitive Surgical Repair

Fatal bleeding in a 1.5-year-old child with aortoesophageal fistula: case report and review of the literature

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