Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report''
Introduction: Aorto-esophageal fistula (AEF) is a rare complication of foreign body ingestion with a mortality of 40%–60%. Most ingested foreign bodies pass spontaneously, but some can lodge in the esophagus and cause severe complications. Diagnostic approaches include chest and abdominal radiograph...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623001525 |
| _version_ | 1797582970574340096 |
|---|---|
| author | Rahaf Al-Rayiqi Abdurrahman Mirza Nadem Kausar Hussam S. Inany Emad Abushaheen Mohammad Shihata Mohammad Mirza Ahmed Aboelyazeed Osama Bawazir |
| author_facet | Rahaf Al-Rayiqi Abdurrahman Mirza Nadem Kausar Hussam S. Inany Emad Abushaheen Mohammad Shihata Mohammad Mirza Ahmed Aboelyazeed Osama Bawazir |
| author_sort | Rahaf Al-Rayiqi |
| collection | DOAJ |
| description | Introduction: Aorto-esophageal fistula (AEF) is a rare complication of foreign body ingestion with a mortality of 40%–60%. Most ingested foreign bodies pass spontaneously, but some can lodge in the esophagus and cause severe complications. Diagnostic approaches include chest and abdominal radiography, esophagogastroduodenoscopy, and computed tomography-angiography. Case presentation: A 2-year-old boy presented with a 5-month history of progressive dysphagia that began with solid food and progressed to liquids, associated with vomiting and weight loss. An upper gastrointestinal contrast study suggested proximal and mid-esophageal dilatation, and a narrowed lumen 14 cm from the incisors. Multiple attempts to insert the nasogastric tube failed. He underwent esophagogastroduodenoscopy and balloon esophageal dilation. He recovered smoothly after dilatation and was discharged home. Three additional dilatations were performed successfully. Four weeks later, he presented to the emergency department with hematemesis, requiring resuscitation and blood transfusions. Emergent chest computed tomography with contrast suggested an AEF. Median sternotomy was performed. The AEF was divided, and the aortic end was closed with multiple sutures. A missed plastic foreign body measuring 1 cm × 1 cm was embedded in the esophageal wall. A piece of pericardium was placed between the aorta and the esophagus. An esophagogram was done 10 days later and showed no stricture, leak, or re-fistula. Conclusion: A foreign body should be included in the differential diagnosis of patients with esophageal strictures of unknown origin and patients with AEF. |
| first_indexed | 2024-03-10T23:30:10Z |
| format | Article |
| id | doaj.art-e384099ac42f496a922ffa9f9272591f |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-03-10T23:30:10Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-e384099ac42f496a922ffa9f9272591f2023-11-19T04:34:42ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-12-0199102726Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report''Rahaf Al-Rayiqi0Abdurrahman Mirza1Nadem Kausar2Hussam S. Inany3Emad Abushaheen4Mohammad Shihata5Mohammad Mirza6Ahmed Aboelyazeed7Osama Bawazir8Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; Corresponding author. Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.Pediatric Surgery, King Abdulaziz Medical City, Jeddah, Saudi ArabiaKing Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaKing Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaKing Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaKing Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaUmm Alquraa University, Makkah, Saudi ArabiaKing Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaDepartment of Surgery College of Medicine, Umm-Alqura University, Makkah, Saudi Arabia; King Faisal Specialist Hospital & Research Center, Jeddah, Saudi ArabiaIntroduction: Aorto-esophageal fistula (AEF) is a rare complication of foreign body ingestion with a mortality of 40%–60%. Most ingested foreign bodies pass spontaneously, but some can lodge in the esophagus and cause severe complications. Diagnostic approaches include chest and abdominal radiography, esophagogastroduodenoscopy, and computed tomography-angiography. Case presentation: A 2-year-old boy presented with a 5-month history of progressive dysphagia that began with solid food and progressed to liquids, associated with vomiting and weight loss. An upper gastrointestinal contrast study suggested proximal and mid-esophageal dilatation, and a narrowed lumen 14 cm from the incisors. Multiple attempts to insert the nasogastric tube failed. He underwent esophagogastroduodenoscopy and balloon esophageal dilation. He recovered smoothly after dilatation and was discharged home. Three additional dilatations were performed successfully. Four weeks later, he presented to the emergency department with hematemesis, requiring resuscitation and blood transfusions. Emergent chest computed tomography with contrast suggested an AEF. Median sternotomy was performed. The AEF was divided, and the aortic end was closed with multiple sutures. A missed plastic foreign body measuring 1 cm × 1 cm was embedded in the esophageal wall. A piece of pericardium was placed between the aorta and the esophagus. An esophagogram was done 10 days later and showed no stricture, leak, or re-fistula. Conclusion: A foreign body should be included in the differential diagnosis of patients with esophageal strictures of unknown origin and patients with AEF.http://www.sciencedirect.com/science/article/pii/S2213576623001525Aorto-esophageal fistulaForeign bodyMedian sternotomyCase report |
| spellingShingle | Rahaf Al-Rayiqi Abdurrahman Mirza Nadem Kausar Hussam S. Inany Emad Abushaheen Mohammad Shihata Mohammad Mirza Ahmed Aboelyazeed Osama Bawazir Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' Journal of Pediatric Surgery Case Reports Aorto-esophageal fistula Foreign body Median sternotomy Case report |
| title | Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' |
| title_full | Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' |
| title_fullStr | Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' |
| title_full_unstemmed | Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' |
| title_short | Acquired aorto-esophageal fistula as a complication of missed of foreign body ''a case report'' |
| title_sort | acquired aorto esophageal fistula as a complication of missed of foreign body a case report |
| topic | Aorto-esophageal fistula Foreign body Median sternotomy Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623001525 |
| work_keys_str_mv | AT rahafalrayiqi acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT abdurrahmanmirza acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT nademkausar acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT hussamsinany acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT emadabushaheen acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT mohammadshihata acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT mohammadmirza acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT ahmedaboelyazeed acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport AT osamabawazir acquiredaortoesophagealfistulaasacomplicationofmissedofforeignbodyacasereport |