Successful management of an aorto-esophageal fistula following button battery ingestion: A case report and review of the literature

Foreign body ingestion is a common event among pediatric patients, especially in children less than 6 years of age. Although most cases are relatively benign, with the foreign body passing spontaneously or requiring a brief endoscopic procedure for removal, button battery ingestion is known to cause...

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Bibliographic Details
Published in:Saudi journal of anaesthesia 2021-04, Vol.15 (2), p.193-198
Main Authors: Wakimoto, Mayuko, Willer, Brittany, Mckee, Christopher, Nafiu, Olubukola, Tobias, Joseph
Format: Article
Language:English
Subjects:
aorto-esophageal fistulae
button battery ingestion
pediatric anesthesia
Batteries
Case Report
Case reports
Children
Complications and side effects
Dexmedetomidine
Diagnosis
Esophagus
Fistula
Foreign bodies
Health aspects
Mortality
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Summary:Foreign body ingestion is a common event among pediatric patients, especially in children less than 6 years of age. Although most cases are relatively benign, with the foreign body passing spontaneously or requiring a brief endoscopic procedure for removal, button battery ingestion is known to cause significant morbidity with the potential for mortality. Although aorto-esophageal fistula (AEF) is a rare complication following button battery ingestion, its clinical manifestations are significant and outcomes are poor. Early diagnosis and aggressive treatment are key in preventing fatal complications. We describe the successful management of an AEF which presented with hematemesis 8 days after removal of a button battery in a 17-month-old female. The literature regarding button battery ingestion and AEF is reviewed and treatment options including intraoperative anesthetic care discussed.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.sja_1040_20