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Spontaneous closure of acquired tracheo-oesophageal fistula

G Senthilkumaran1, S Crankson, M Yousef

  • 1Department of Otolaryngology, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.

Insights

Acquired tracheo-oesophageal fistulae are rare in children. This case highlights a button battery impaction causing such a fistula, emphasizing the need for prompt medical intervention to prevent severe outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Otolaryngology

Background:

  • Acquired tracheo-oesophageal fistulae are infrequent in pediatric patients.
  • Foreign body ingestion is a significant concern in pediatric emergencies.

Observation:

  • A rare case of acquired tracheo-oesophageal fistula in a child is presented.
  • The fistula resulted from the impaction of a swallowed button battery.

Findings:

  • Button battery impaction can lead to serious esophageal and tracheal complications.
  • Early diagnosis and intervention are crucial for managing tracheo-oesophageal fistulae.

Implications:

  • This case underscores the importance of considering button battery ingestion in pediatric cases of tracheo-oesophageal fistula.
  • Prompt management strategies are vital to minimize morbidity and mortality in affected children.

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