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Case Report

Acquired Tracheo Esophageal Fistula: A Clinical Case report

S.K. Mohanasundari , S.K. Mohanasundari

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International Journal of Pediatric Nursing 3(1):p 63-66, January - April 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijpen.2454.9126.3117.10

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Abstract

 A trachea esophageal fistula (TEF) is a congenital or acquired communication between the trachea and esophagus. TEFs often lead to severe and fatal pulmonary complications. It is a life threatening condition & usually occurs secondary to trauma or invasion of anatomic structures in the mediastinum by neoplasm and foreign bodies. It is uncommon for infants to ingest articles large enough to produce esophageal damage. Failure to diagnose foreign body ingestion at time can allow time for erosion into the wall of the esophagus with subsequent severe to profound injury to the esophagus, the trachea or both. Esophageal impacting of button batteries must be distinguished from impacting of other foreign bodies because of their severe complications. Button batteries represent a low percentage of all foreign bodies swallowed by children and esophageal location is even less frequent. Swallowed button batteries rarely remain in esophagus, Injuries can take place even after few hours; and therefore, endoscopy must be performed as soon as possible. We present a case of battery ingestion in a one-year-old infant resulting in acquired TEF. The history, diagnostic and surgical management was stressed in this case report.

Keywords: Acquired Trachea Esophageal Fistula; Infant; Battery Ingestion; Rigid Broncoscopy.

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DOI: DOI: http://dx.doi.org/10.21088/ijpen.2454.9126.3117.10

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