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Management of tracheal stenosis after corrosive acid ingestion: A case report
1Department of Thoracic Surgery, University of Health Sciences, Konya Training and Research Hospital, Konya-Turkey.
Insights
Accidental acidic cleaning agent ingestion caused rare tracheal stenosis in a child. Timely stent placement and repair significantly improved airway function, offering life-saving intervention for this critical condition.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Toxicology
Background:
- Corrosive injury to the digestive tract is common, but airway damage is less documented.
- Tracheal stenosis following corrosive acid ingestion is exceptionally rare, especially in pediatric cases.
Observation:
- A 4-year-old girl presented with airway compromise three weeks after ingesting an acidic cleaning agent.
- Rigid bronchoscopy revealed significant tracheal stenosis and laceration.
Findings:
- The patient underwent serial dilations, surgical repair of tracheal laceration, and temporary placement of a polyurethane-coated nitinol stent.
- Successful stent placement provided critical airway improvement.
Implications:
- This case highlights the potential for severe, life-threatening airway complications from corrosive ingestions.
- Accurate stent placement can be a life-saving intervention in pediatric tracheal stenosis due to corrosive injury.
Abstract:
Although corrosive injury of the digestive tract is a well-known clinical entity, damages of the airway and a critically life-threatening condition, have not been clearly documented. Tracheal stenosis is very rare associated with corrosive acid ingestion. We report the case of a 4-year-old girl child who presented to the emergency department three weeks after accidentally drinking an acidic cleaning agent stored in an unlabeled bottle. Rigid bronchoscopy was administered to observe the stenosis. She was treated by serial dilation, repair of tracheal laceration, and placement of a temporary polyurethane-coated nitinol stent. Careful and accurate stent placement may provide significant and life-saving airway improvement as observed in the presenting pediatric case.
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