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Gastrobronchial fistula after toothbrush ingestion
Jan Christoph Karcher1, Christoph von Buch, Karl-Ludwig Waag
1Department of Pediatric Surgery, University Hospital Mannheim, University of Heidelberg 68167 Mannheim, Germany.
Journal of Pediatric Surgery
|October 3, 2006
Summary
Gastrobronchial fistulas are rare, with only 36 cases reported. This study details the first known case caused by foreign body ingestion, specifically a toothbrush, successfully treated with endoscopic extraction and surgery.
Area of Science:
- Gastroenterology
- Pulmonology
- Medical Case Reports
Background:
- Gastrobronchial fistulas are uncommon, with fewer than 40 cases documented in medical literature.
- These fistulas typically arise as complications of conditions like gastroesophageal surgery, subphrenic abscesses, or gastric ulcers.
Observation:
- A patient with mental retardation, hospitalized for osteomyelitis, developed high fever, vomiting, and respiratory distress.
- Endoscopic examination revealed a gastrobronchial fistula, identified as a consequence of ingesting a foreign body.
Findings:
- The foreign body, a toothbrush, was successfully removed endoscopically.
- The gastrobronchial fistula was subsequently surgically closed, leading to complete patient recovery.
Implications:
- This case represents the first documented instance of a gastrobronchial fistula resulting from foreign body ingestion.
- Highlights the importance of considering foreign body ingestion in the differential diagnosis of gastrobronchial fistulas, even in unusual circumstances.
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