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Bronchoesophageal fistula secondary to aspiration of tongue adhesion button in a child with glossoptosis
Author(s) -
Zunzunegui Jose,
LópezHerce Jesús,
Carrillo Angel,
Prieto Marcelino,
Sancho Luis,
Delgado Jose
Publication year - 1997
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/(sici)1099-0496(199702)23:2<120::aid-ppul8>3.0.co;2-t
Subject(s) - medicine , tongue , fistula , surgery , adhesion , pathology , chemistry , organic chemistry
A newborn boy with obstructive apnea secondary to glossoptosis was treated by securing his tongue to his lower lip. Soon after, the button that served for posterior fixation became detached and was thought to have been evacuated via the digestive tract. Twenty‐two months later the infant presented with pneumonia involving the right lower lobe and hemoptysis, causing an acute respiratory distress syndrome (ARDS). After mechanical ventilation was started marked gastric distention was observed. Esophagography and bronchography revealed a fistula between the right main stem bronchus and the esophagus. During surgical repair the plastic fixation button was found in the bronchial orifice of the fistula. Despite surgical correction of the fistula the child died of refractory respiratory failure. Pediatr Pulmonol. 1997; 23:120–122. © 1997 Wiley‐Liss, Inc.