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Survival of Toddler with Aortoesophageal Fistula after Button Battery Ingestion
Author(s) -
H G Gibbs,
Rishabh Sethia,
Patrick McConnell,
Jennifer H. Aldrink,
Toshiharu Shinoka,
Kent C. Williams,
Kris R. Jatana
Publication year - 2021
Publication title -
case reports in otolaryngology
Language(s) - English
Resource type - Journals
eISSN - 2090-6765
pISSN - 2090-6773
DOI - 10.1155/2021/5557054
Subject(s) - toddler , medicine , ingestion , melena , foreign body ingestion , complication , foreign body , surgery , fistula , psychology , developmental psychology
Button batteries (BBs) are found in many households and are a source of esophageal foreign body in the pediatric population. Upon ingestion, significant caustic injury can occur within 2 hours leading to tissue damage and severe, potentially fatal sequelae. Aortoesophageal fistula (AEF) is a rare complication that nearly always results in mortality. We report a rare case of a toddler who developed an AEF after BB ingestion and survived following staged aortic repair. There should be a high index of suspicion for this complication with the history of BB ingestion and presence of hematemesis, hemoptysis, or melena.

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