Esophageal Perforation Due to Ingestion of Button Battery and Conservative Treatment: A Case Report

Yıl 2021, Cilt: 23 Sayı: 1, 191 - 196, 30.04.2021

Cem Kaya , Hayrunnisa Oral , Kamercan Ceylan , Ramazan Karabulut , Ödül Eğritaş Gürkan Zafer Türkyılmaz Kaan Sönmez

https://doi.org/10.24938/kutfd.846460

Öz

Accidental ingestion of foreign bodies is a common situation in infants and children. Although coins are frequently swallowed by children, the introduction of electronic devices into our lives as a result of technological advances and the increase in battery use in toys have led to an increase in battery swallowing cases. Ingestion of button batteries is a more urgent situation than other foreign body ingestion, as it may cause complications such as perforation, trachea-esophageal fistula, large vein fistulization, esophageal stricture, vocal cord paralysis or spondylodiscitis. With this case report, we wanted to present an interesting case in which a 10-month-old boy who swallowed a 15 mm diameter button battery and developed esophageal perforation at the tracheal carina level after being pushed into the stomach whose perforation healed spontaneously with a conservative approach with chest tube, total parenteral nutrition and gastrostomy.

Anahtar Kelimeler

button battery, foreign body ingestion, esophageal perforation

YASSI PİL YUTULMASINA BAĞLI GELİŞEN ÖZOFAGUS PERFORASYONU VE KONSERVATİF TEDAVİSİ: OLGU SUNUMU

Öz

Bebek ve çocuklarda kaza sonucu yabancı cisim yutulması sık karşılaşılan bir durumdur. Çocuklarda sıklıkla madeni para yutulmakla birlikte günümüzde teknolojik ilerlemeler sonucu hayatımıza elektronik cihazların girmesi ve oyuncaklarda pil kullanımın artması pil yutma vakalarında artışa sebep olmuştur. Yassı pillerin yutulması diğer yabancı cisim yutulmalarına göre perforasyon, trakea-özofagus fistül, büyük damara fistülizasyon, özofagus darlığı, vokal kord felci veya spondilodiskit gibi komplikasyonlara neden olabileceğinden daha acil bir durumdur. Biz de bu vaka sunumuyla 15 mm çapında yassı pil yutan ve mideye itilme sonrası trakeal karina seviyesinde özofagus perforasyonu gelişen 10 aylık erkek çocukta göğüs tüpü, total parenteral nutrisyon ve gastrostomi tedavisinden oluşan konservatif yaklaşımla perforasyonun kendiliğinden iyileştiği ilginç vakayı sunmak istedik.

Anahtar Kelimeler

yassı pil, yabancı cisim yutma, özofagus perforasyonu

Kaynakça

• 1. Shah SR, Little DC. Ingestion of foreign bodies. In: Holcomb III GW, Murphy JP, St Peter SD, eds. Holcomb and Ashcraft’s Pediatric Surgery. 7th ed. Philadelphia: Elsevier. 2019:172-80.
• 2. Granata A, Gandolfo C, Acierno C, Piazza M, Burgio G, Traina M. Button battery removed from the stomach resulting in a missed aortoesophageal fistula-a multidisciplinary approach to rescuing a very young patient: a case report. J Med Case Rep. 2018;12(1):318.
• 3. Bolton SM, Saker M, Bass LM. Button battery and magnet ingestions in the pediatric patient. Curr Opin Pediatr. 2018;30(5):653-9.
• 4. Kalyanshettar S, Patil S, Upadhye G. Button battery ingestion-case report and review. J Clin Diagn Res. 2014;8(9):PD01-2.
• 5. Krom H, Visser M, Hulst JM, Wolters VM, Van den Neucker AM, de Meij T et al. Serious complications after button battery ingestion in children. Eur J Pediatr. 2018;177(7):1063-70.
• 6. Hofmeyr R, Bester K, Willms A, Hewitson J, Byhahn C. Tracheoesophageal fistula following button battery ingestion in an infant: Airway management considerations. Anaesthesist. 2019;68(11):777-9.
• 7. Brumbaugh DE, Colson SB, Sandoval JA, Karrer FM, Bealer JF, Litovitz T et al. Management of button battery-induced hemorrhage in children. J Pediatr Gastroenterol Nutr. 2011;52(5):585-9.
• 8. Karabulut R, Turkyilmaz Z, Sonmez K, Basaklar AC. Conservative treatment with octreotide to provide early recovery of children with esophageal perforation. Thorac Cardiovasc Surg. 2018;66(5):396-400.
• 9. Rentea RM, St Peter SD. Neonatal and pediatric esophageal perforation. Semin Pediatr Surg. 2017;26(2):87-94.
• 10. Hesketh AJ, Behr CA, Soffer SZ, Hong AR, Glick RD. Neonatal esophageal perforation: Nonoperative management. J Surg Res. 2015;198(1):1-6.