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Compromised ventilation caused by tracheoesophageal fistula and gastrointestinal endoscope undergoing removal of disk battery on esophagus in pediatric patient -A case report-.

Kim KW, Kim JY, Kim JW, Park JS, Choe WJ, Kim KT, Lee S - Korean J Anesthesiol (2011)

Bottom Line: Proper placement of the tracheal tube is critical when tracheoesophageal fistula was occurred from esophageal impaction the battery.Endoscopy of upper gastrointestinal tract in infants and children is an important and effective tool for the diagnosis and treatment of foreign body ingestion.But upper gastrointestinal endoscopy in infant and children has very high risk of tracheal compression and airway compromise.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

ABSTRACT
Ingestion of disk batteries may have serious complications such as esophageal burn, perforation, and tracheoesophageal fistula, particularly when the battery is caught in the esophagus. Proper placement of the tracheal tube is critical when tracheoesophageal fistula was occurred from esophageal impaction the battery. Endoscopy of upper gastrointestinal tract in infants and children is an important and effective tool for the diagnosis and treatment of foreign body ingestion. But upper gastrointestinal endoscopy in infant and children has very high risk of tracheal compression and airway compromise. We present a case of ventilatory compromise during insertion of the upper gastrointestinal endoscopy in 16-month-old child with tracheoesophageal fistula secondary to disk battery ingestion.

No MeSH data available.


Related in: MedlinePlus

Chest PA X-ray image shows a round radiopaque object in upper mediastinum.
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Figure 1: Chest PA X-ray image shows a round radiopaque object in upper mediastinum.

Mentions: A 16-month old, baby girl, weighing 9.5 kg and measuring 74 cm, visited the hospital because of a cough. In a chest radiograph done under the suspicion of an upper respiratory infection, a round foreign object with a diameter of 21 mm was detected in the upper esophagus (Fig. 1). In a sleep endoscopy, it was confirmed to be a circular battery (Fig. 2), and ingestion was estimated to occur three days prior to the hospital visit, and it was determined that endoscopic removal would not be easy. Therefore, it was decided to immediately remove the battery under general anesthesia.


Compromised ventilation caused by tracheoesophageal fistula and gastrointestinal endoscope undergoing removal of disk battery on esophagus in pediatric patient -A case report-.

Kim KW, Kim JY, Kim JW, Park JS, Choe WJ, Kim KT, Lee S - Korean J Anesthesiol (2011)

Chest PA X-ray image shows a round radiopaque object in upper mediastinum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3198189&req=5

Figure 1: Chest PA X-ray image shows a round radiopaque object in upper mediastinum.
Mentions: A 16-month old, baby girl, weighing 9.5 kg and measuring 74 cm, visited the hospital because of a cough. In a chest radiograph done under the suspicion of an upper respiratory infection, a round foreign object with a diameter of 21 mm was detected in the upper esophagus (Fig. 1). In a sleep endoscopy, it was confirmed to be a circular battery (Fig. 2), and ingestion was estimated to occur three days prior to the hospital visit, and it was determined that endoscopic removal would not be easy. Therefore, it was decided to immediately remove the battery under general anesthesia.

Bottom Line: Proper placement of the tracheal tube is critical when tracheoesophageal fistula was occurred from esophageal impaction the battery.Endoscopy of upper gastrointestinal tract in infants and children is an important and effective tool for the diagnosis and treatment of foreign body ingestion.But upper gastrointestinal endoscopy in infant and children has very high risk of tracheal compression and airway compromise.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

ABSTRACT
Ingestion of disk batteries may have serious complications such as esophageal burn, perforation, and tracheoesophageal fistula, particularly when the battery is caught in the esophagus. Proper placement of the tracheal tube is critical when tracheoesophageal fistula was occurred from esophageal impaction the battery. Endoscopy of upper gastrointestinal tract in infants and children is an important and effective tool for the diagnosis and treatment of foreign body ingestion. But upper gastrointestinal endoscopy in infant and children has very high risk of tracheal compression and airway compromise. We present a case of ventilatory compromise during insertion of the upper gastrointestinal endoscopy in 16-month-old child with tracheoesophageal fistula secondary to disk battery ingestion.

No MeSH data available.


Related in: MedlinePlus