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Esophagotracheal fistula after lithium disc battery ingestion successfully treated with hyperbaric oxygen therapy

Nadan M Petri1, Julije Mestrović, Dejan Andrić

  • 1Department of Undersea and Hyperbaric Medicine, Naval Medical Institute, PO box 196 (HRM), 21000 Split, Croatia. nadan.petri@morh.hr

International Journal of Pediatric Otorhinolaryngology
|July 26, 2003
PubMed

Insights

A child

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Esophagotracheal fistulas are rare, life-threatening complications.
  • Ingested disc batteries pose a significant risk in pediatric patients.
  • Delayed diagnosis of foreign body ingestion can lead to severe sequelae.

Observation:

  • A 12-month-old child presented with an esophagotracheal fistula secondary to an ingested lithium disc battery.
  • Initial chest X-rays failed to identify the foreign body, delaying diagnosis by 28 days.
  • The fistula measured 5 mm in diameter.

Findings:

  • Nasogastric tube feeding was initiated for nutritional support.
  • Hyperbaric oxygen treatment (HBOT) was administered.
  • Complete fistula closure was achieved after 17 sessions of HBOT (60 minutes each at 2.2 bars).

Implications:

  • This case highlights the critical importance of early recognition of foreign body ingestion, particularly disc batteries.
  • It demonstrates the potential efficacy of hyperbaric oxygen therapy as an adjunct treatment for esophageal and tracheal injuries.
  • Successful management underscores the need for multidisciplinary care in pediatric foreign body emergencies.

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