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Wakimoto M, Willer BL, Mckee C, Nafiu OO, Tobias JD. Successful management of an aorto-esophageal fistula following button battery ingestion: A case report and review of the literature. Saudi J Anaesth 2021; 15:193-198. [PMID: 34188640 PMCID: PMC8191253 DOI: 10.4103/sja.sja_1040_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 10/16/2020] [Indexed: 11/19/2022] Open
Abstract
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.
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Affiliation(s)
- Mayuko Wakimoto
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Brittany L Willer
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.,Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA
| | - Christopher Mckee
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.,Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA
| | - Olubukola O Nafiu
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.,Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA
| | - Joseph D Tobias
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.,Department of Anesthesiology and Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA
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Nisse P, Lampin ME, Aubry E, Cixou E, Mathieu-Nolf M. [Fatal aorto-esophageal fistula due to accidental ingestion of button battery. Algorithm for management of disk-battery ingestion in patients younger than 6 years old]. Presse Med 2016; 45:947-953. [PMID: 27546304 DOI: 10.1016/j.lpm.2016.07.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 07/11/2016] [Accepted: 07/18/2016] [Indexed: 11/24/2022] Open
Abstract
The ingestion of disc battery is a common problem in children and current treatment may be sometime inadequate. Ingested button batteries have the potential to cause significant morbidity and mortality. Ingestion of button batteries has been seen with increasing frequency over the last decade, particularly for children aged younger than 6 years. If most cases of disc battery ingestion run uneventful courses, however, harmful outcomes are more common with ingestion of lithium batteries (3V) with a diameter greater than or equal to 16 mm. These young children have to benefit from a chest radiograph within 2hours which follow the ingestion. If the battery impacts in the esophagus, emergency endoscopic management is necessary. We report the case of one young child died followed an unknown lithium disk-battery ingestion complicated with an aorto-œsophageal fistula. We propose a protocol of specific coverage for patients aged younger than 6 years old.
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Affiliation(s)
- Patrick Nisse
- CHRU de Lille, centre antipoison et toxicovigilance, 5, avenue Oscar-Lambret, 59037 Lille cedex, France.
| | - Marie Emilie Lampin
- Service de réanimation, unité de surveillance continue pédiatriques, hôpital Jeanne-de-Flandre, CHRU, 59037 Lille cedex, France
| | - Estelle Aubry
- Clinique de chirurgie et orthopédie de l'enfant, hôpital Jeanne-de-Flandre, CHRU, 59037 Lille cedex, France
| | - Emmanuel Cixou
- Service de pédiatrie et urgences pédiatriques, hôpital Victor-Provo, 11, boulevard Lacordaire, 59056 Roubaix cedex, France
| | - Monique Mathieu-Nolf
- CHRU de Lille, centre antipoison et toxicovigilance, 5, avenue Oscar-Lambret, 59037 Lille cedex, France
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