Tracheoesophageal Fistula due to Button Battery Ingestion, Conservative Management?

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Arturo Emilio Guerra Rodríguez
Manuel Alfredo Medellín Vázquez
Jesús Eduardo Treviño Alvarado
Carlos Alberto Zapata Castilleja
José Guillermo Martínez Flores

Abstract

Background: Foreign body ingestion is a frequent reason for consultation in paediatrics. Complications arising from this event vary depending on the object ingested. In the specific case of button battery ingestion, it can cause direct damage to the structures of the digestive system, from mucosal burns to perforation and injury to adjacent structures.


Case report: We present a case of a 2-year-old, 10-month-old girl with a history of ingesting a button battery eight days prior. As a result, she developed a 20mm-diameter tracheoesophageal fistula. Conservative management was chosen, which resulted in complete resolution with spontaneous closure of the fistula. Conclusions: Button battery ingestion can cause severe injuries due to the unique properties of the object, which directly damage the impacted area of the digestive mucosa. Each case should be evaluated individually, considering the duration of evolution and the site of impaction, in order to determine the most appropriate management for the patient.

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How to Cite
Guerra Rodríguez, A. E., Medellín Vázquez, M. A., Treviño Alvarado, J. E., Zapata Castilleja, C. A., & Martínez Flores, J. G. (2023). Tracheoesophageal Fistula due to Button Battery Ingestion, Conservative Management?. Pediatría, 56(2), e432. https://doi.org/10.14295/rp.v56i2.432
Section
Case report

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