Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T20:50:36.707Z Has data issue: false hasContentIssue false
  • English
  • Français

Tracheoesophageal fistula secondary to chemical trauma: is there a place for planned conservative management?

Published online by Cambridge University Press:  20 May 2010

D Biswas ,
S Majumdar ,
J Ray  and
P Bull
D Biswas*
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, UK
S Majumdar
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, UK
J Ray
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, UK
P Bull
Affiliation:
Department of Otolaryngology, Sheffield Children's Hospital, University of Sheffield, UK
*
Address for correspondence: Mr D Biswas, Department of Otolaryngology, Sheffield Children's Hospital, Western Bank, Sheffield, South Yorkshire, S10 2TH. Fax: +44 1142 711 985 E-mail: drdbiswas@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We present a unique case in which closure of a large tracheoesophageal fistula was achieved with planned conservative management.

Method:

The literature was reviewed for other documented cases of spontaneous closure of traumatic tracheoesophageal fistula.

Results:

Acquired tracheoesophageal fistula may result secondary to a chemical burn from an alkaline disc battery impacted in the oesophagus, particularly when the presentation, and thus diagnosis, are delayed. This condition is rare. The majority of such cases occur in children, and are conventionally managed with surgical repair. We found only three previously reported cases in which conservative management was attempted.

Conclusion:

Non-interventional management should be tried initially for the management of paediatric acquired tracheoesophageal fistula, to permit closure by secondary intention.

Keywords

Foreign BodiesBatteriesOesophagusTracheo-oesophageal Fistula
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 10 , October 2010 , pp. 1136 - 1138
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Yardeni, D, Yardeni, H, Coran, AG, Golladay, ES. Severe esophageal damage due to button battery ingestion: can it be prevented? Pediatr Surg Int 2004;20:496–501Google Scholar
2Chan, YL, Chang, SS, Kao, KL, Liao, HC, Liaw, SJ, Chiu, TF et al. Button battery ingestion: an analysis of 25 cases. Chang Gung Med J 2002;25:169–74Google Scholar
3Litovitz, TL. Button battery ingestions. A review of 56 cases. JAMA 1983;249:2495–500Google Scholar
4Birman, C, Beckenham, E. Acquired tracheo-esophageal fistula in the pediatric population. Int J Pediatr Otorhinolaryngol 1998;44:109–13Google Scholar
5Slamon, NB, Hertzog, JH, Penfil, SH, Raphaely, RC, Pizarro, C, Derby, CD. An unusual case of button battery-induced traumatic tracheoesophageal fistula. Pediatr Emerg Care 2008;24:313–16Google Scholar
6Grisel, JJ, Richter, GT, Casper, KA, Thompson, DM. Acquired tracheoesophageal fistula following disc-battery ingestion: can we watch and wait? Int J Pediatr Otorhinolaryngol 2008;72:699–706Google Scholar
7Anand, TS, Kumar, S, Wadhwa, V, Dhawan, R. Rare case of spontaneous closure of tracheo-esophageal fistula secondary to disc battery ingestion. Int J Pediatr Otorhinolaryngol 2002;63:57–9Google Scholar
8Senthilkumaran, G, Crankson, S, Yousef, M. Spontaneous closure of acquired tracheo-oesophageal fistula. J Laryngol Otol 1996;110:685–7Google Scholar
9Wall, SJ, Nadel, DM, Handler, SD. Airway compromise caused by disk battery ingestion. Otolaryngol Head Neck Surg 1999;121:302–3Google Scholar
10Bernstein, JM, Burrows, SA, Saunders, MW. Lodged oesophageal button battery masquerading as a coin: an unusual cause of bilateral vocal cord paralysis. Emerg Med J 2007;24:e15Google Scholar