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Bronchial Compression and Tracheosophageal Fistula Secondary to Prolonged Esophageal Foreign Body

Bryan J Liming1, Anthony Fischer2, Graeme Pitcher3

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Iowa Healthcare, Iowa City, Iowa, USA bryan-liming@uiowa.edu.

The Annals of Otology, Rhinology, and Laryngology
|September 9, 2016
PubMed

Insights

Foreign body ingestion in children can lead to serious complications like bronchial compression. High suspicion is crucial for diagnosing prolonged foreign body retention, especially in those with neurodevelopmental delays.

Area of Science:

  • Pediatric Gastroenterology
  • Thoracic Surgery
  • Medical Diagnostics

Background:

  • Foreign body ingestion is a frequent pediatric concern.
  • Delayed presentation of ingested foreign bodies can occur.
  • This case highlights complications from a longstanding esophageal foreign body.

Observation:

  • A 15-year-old female presented with unusual symptoms.
  • The patient had a history of a longstanding esophageal foreign body.
  • This led to bronchial compression and an acquired tracheoesophageal fistula.

Findings:

  • Prolonged retention of esophageal foreign bodies presents diagnostic and management challenges.
  • Unusual symptoms in children with neurodevelopmental delays warrant high suspicion for foreign bodies.
  • This case underscores the potential for severe, delayed complications.

Implications:

  • Increased awareness among healthcare providers is essential for timely diagnosis.
  • Early recognition can prevent severe morbidity associated with esophageal foreign bodies.
  • Consideration of foreign bodies in atypical presentations is vital for pediatric care.
Abstract

Keywords:
and airwayforeign bodies in the earnosepediatric airwaypediatric airway surgerypediatric otolaryngologytrachea

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