Tracheoesophageal Fistula due to Button Battery Ingestion, Conservative Management?
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Abstract
Background: Foreign body ingestion is a frequent reason for consultation in paediatrics. Complications arising from this event vary depending on the object ingested. In the specific case of button battery ingestion, it can cause direct damage to the structures of the digestive system, from mucosal burns to perforation and injury to adjacent structures.
Case report: We present a case of a 2-year-old, 10-month-old girl with a history of ingesting a button battery eight days prior. As a result, she developed a 20mm-diameter tracheoesophageal fistula. Conservative management was chosen, which resulted in complete resolution with spontaneous closure of the fistula. Conclusions: Button battery ingestion can cause severe injuries due to the unique properties of the object, which directly damage the impacted area of the digestive mucosa. Each case should be evaluated individually, considering the duration of evolution and the site of impaction, in order to determine the most appropriate management for the patient.
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References
Cadena-León JF, Cázares-Méndez JM, Toro-Monjaraz EM, CervantesBustamante R, Ramírez-Mayans JA. Manejo de la ingesta de cuerpos extraños por vía digestiva. Acta Pediatr Mex. 2019;40(5):290-94. DOI: https://doi.org/10.18233/APM40No5pp290-2941895
Litovitz T, Whitaker N, Clark L, C. White N and Marsolek EM, Emerging Battery-Ingestion Hazard: Clinical Implications. Pediatrics. 2010;125(6):1168-77. doi: 10.1542/peds.2009-3037;125;1168. DOI: https://doi.org/10.1542/peds.2009-3037
Leinwand K, Brumbaugh DE, Kramer RE. Button Battery Ingestion in Children: A Paradigm for Management of Severe Pediatric Foreign Body Ingestions. Gastrointest Endosc Clin N Am. 2016;26(1):99-118. doi: 10.1016/j.giec.2015.08.003. DOI: https://doi.org/10.1016/j.giec.2015.08.003
Krom H, Visser M, Hulst JM, Wolters VM, Van den Neucker AM, de Meij T, Van der Doef HPJ, Norbruis OF, Benninga MA, Smit MJM, Kindermann A. Serious complications after button battery ingestion in children. Eur J Pediatr. 2018;177(7):1063-1070. doi: 10.1007/s00431-018-3154-6. DOI: https://doi.org/10.1007/s00431-018-3154-6
Reed MF, Mathisen DJ. Tracheoesophageal fistula. Chest Surg Clin N Am. 2003;13(2):271-89. doi: 10.1016/s1052-3359(03)00030-9. DOI: https://doi.org/10.1016/S1052-3359(03)00030-9
Maluenda C, & Varea V. Protocolos Diagnostico-Terapéuticos de Gastroenterología, Hepatología y Nutrición Pediátrica. ERGON. 2010;(1):131-134.
Guzmán SB, Puga-Ayala VM. Retención en el esófago de una batería de botón durante 7 meses en una paciente de 2 años: informe de caso y revisión de la bibliografía. Acta Pediatr. Méx. 2021;42(5):241-46.
Chiang MC, & Chen YS. Tracheoesophageal Fistula Secondary to Disc Battery Ingestion. Am J Otolaryngol. 2000;21(5):333-6. doi: 10.1053/ajot.2000.16173. DOI: https://doi.org/10.1053/ajot.2000.16173
Tanaka J, Yamashita M, Yamashita M, Kajigaya H. Esophageal electrochemical burns due to button type lithium batteries in dogs. Vet Hum Toxicol. 1998;40(4):193-196.
Maves MD, Carithers JS, Birck HG. Esophageal burns secondary to disc battery ingestion. Ann Otol Rhinol Laryngol. 1984;93(4 Pt 1):364-9. doi: 10.1177/000348948409300416. DOI: https://doi.org/10.1177/000348948409300416
Varga, Ágnes MD*; Kovács, Tamás MD, PhD*; Saxena, Amulya K. MD, PhD, DSc, FRCS(Glasg)†. Analysis of Complications After Button Battery Ingestion in Children, Pediatr Emerg Care. 2018;34(6):443-446. doi: 10.1097/PEC.0000000000001413. DOI: https://doi.org/10.1097/PEC.0000000000001413
Anand TS, Kumar S, Wadhwa V, Dhawan R. Rare case of spontaneous closure of tracheo-esophageal fistula secondary to disc battery ingestion. Int J Pediatr Otorhinolaryngol. 2002;63(1):57-9. doi: 10.1016/s0165-5876(01)00624-3. DOI: https://doi.org/10.1016/S0165-5876(01)00624-3
Houas Y, Sahli S, Fitouri F, Ben Salah M, Hamzaoui M. Spontaneous Resolution of a Tracheoesophageal Fistula Caused by Button Battery Ingestion. JAMA Otolaryngol Head Neck Surg. 2016;142(6):609-10. doi: 10.1001/jamaoto.2016.1006. DOI: https://doi.org/10.1001/jamaoto.2016.1006
Shibuya S, Azuma T, Lane GJ, Okawada M, Yamataka A. Successful Strategy for the Conservative Management of Acquired Tracheoesophageal Fistula Due to Lithium Button Battery Ingestion. European J Pediatr Surg Rep. 2020;8(1):e18-e22. doi:10.1055/s-0040-1705157. DOI: https://doi.org/10.1055/s-0040-1705157