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Fatal aorto-esophageal fistula in child: a case report

Sultan Pehlivan1, Dogus Ozdemir Kara1, Dilhan Turkkan1

  • 1Ankara Branch of the Council of Forensic Medicine, Ankara, Turkey.

Journal of Forensic and Legal Medicine
|February 4, 2014
PubMed

Insights

A rare case of a 2-year-old girl with fatal aorto-esophageal fistula due to an unrecognized esophageal foreign body highlights the dangers of delayed diagnosis in pediatric foreign body ingestion.

Area of Science:

  • Pediatric Gastroenterology
  • Forensic Pathology

Background:

  • Esophageal foreign body ingestion is common in children and can lead to severe complications.
  • Delayed diagnosis and treatment increase the risk of mortality.

Observation:

  • A 2-year-old girl presented with massive bleeding, ultimately succumbing to an unrecognized aorto-esophageal fistula.
  • Autopsy revealed a calcified foreign body with giant cells and granulation tissue at the fistula site.

Findings:

  • Histopathology confirmed an ulcerated fistula tract from the esophageal intima to adventitia.
  • The foreign body likely caused erosion leading to the aorto-esophageal fistula and fatal hemorrhage.

Implications:

  • This case underscores the critical need for prompt diagnosis and management of esophageal foreign bodies in children.
  • It serves as a rare example of fatal outcomes associated with unrecognized foreign body ingestion, emphasizing the importance of thorough investigation in cases of unexplained bleeding.

Keywords:
Aorto-esophageal fistulaFatalForeign body

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