|
1
|
Lanzafame LRM, Blandino A, Cicero G, Romeo P, Agati S, Zanai R, Celona A, Booz C, Koch V, Mazziotti S, D’Angelo T. Diagnosis and Management of Button Battery Ingestion Complicated by Tracheo-Esophageal and Aorto-Esophageal Fistulas. Diagnostics (Basel) 2022; 12:diagnostics12102369. [PMID: 36292059 PMCID: PMC9600074 DOI: 10.3390/diagnostics12102369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 09/25/2022] [Accepted: 09/27/2022] [Indexed: 11/16/2022] Open
Abstract
Button battery ingestion (BBI) is common in children and its prevalence has increased in the last decades. BBI can be responsible for very severe and potentially fatal complications if not promptly detected. We describe the successful management of two cases of BBI that occurred in two previously healthy infants. Both patients presented with vague symptoms and no witness of foreign body ingestion. The prolonged time of exposure to the corrosive effects of disk batteries was responsible for the development of tracheo-esophageal fistula (TEF) and aorto-esophageal fistula (AEF). We demonstrate how prompt diagnosis and management are crucial for the infants’ survival.
Collapse
Affiliation(s)
- Ludovica R. M. Lanzafame
- Department of Biomedical Sciences and Morphological and Functional Imaging, University Hospital Messina, 98121 Messina, Italy
| | - Alfredo Blandino
- Department of Biomedical Sciences and Morphological and Functional Imaging, University Hospital Messina, 98121 Messina, Italy
| | - Giuseppe Cicero
- Department of Biomedical Sciences and Morphological and Functional Imaging, University Hospital Messina, 98121 Messina, Italy
| | - Placido Romeo
- Department of Diagnostic and Interventional Radiology, A.O.U. Policlinico San Marco, 95123 Catania, Italy
| | - Salvatore Agati
- Pediatric Cardiac Surgery, “Centro Cardiologico Pediatrico del Mediterraneo-Bambino Gesù”, 98039 Taormina, Italy
| | - Rosanna Zanai
- Pediatric Intensive Care Unit, “Centro Cardiologico Pediatrico del Mediterraneo-Bambino Gesù”, 98039 Taormina, Italy
| | - Antonio Celona
- Department of Radiology, “S. Vincenzo” Hospital Taormina, 98121 Messina, Italy
| | - Christian Booz
- Division of Experimental Imaging, Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, 60590 Frankfurt, Germany
| | - Vitali Koch
- Division of Experimental Imaging, Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, 60590 Frankfurt, Germany
| | - Silvio Mazziotti
- Department of Biomedical Sciences and Morphological and Functional Imaging, University Hospital Messina, 98121 Messina, Italy
| | - Tommaso D’Angelo
- Department of Biomedical Sciences and Morphological and Functional Imaging, University Hospital Messina, 98121 Messina, Italy
- Department of Radiology and Nuclear Medicine, Erasmus MC, 3015 Rotterdam, The Netherlands
- Correspondence:
| |
Collapse
|