Article Text

TRACHEOESOPHAGEAL FISTULA AFTER DISC BATTERY INGESTION
  1. M Seyedhejazi1,
  2. E Madarek2,
  3. N Najati3
  1. 1Department of Anesthesia, Tabriz Children Hospital, Tabriz, Iran
  2. 2Department of Obstetrics, Alzahra Hospital, Tabriz, Iran
  3. 3Department of Pediatrics, Tabriz Children Hospital, Tabriz, Iran

Abstract

Foreign body ingestion is a common complaint in the pediatric emergency department. Esophageal foreign bodies are potentially serious causes of morbidity and mortality in children.

Here we report an interesting case of a watch disc battery ingestion leading to tracheoesophageal fistula. The exact place of tracheoesophageal fistula was diagnosed 20 days later after a third investigation by rigid esophagoscopy and bronchoscopy.

A 2 year old, 9 kg male patient was admitted with chief complaint of bloody vomitus and symptoms of aspiration pneumonia after watch battery ingestion. The battery was removed during the first 12 hours. In the third examination the location of the fistula was diagnosed. The trachea and esophagus were repaired, and a muscular flap placed in the place of fistula. The patient was discharged from hospital after 5 days.

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