A Case for Early Bronchoscopic Airway Assessment After Disc Battery Ingestion

作者：Wurzel Danielle F^*; Masters I Brent; Choo Kelvin L; Isles Alan F

来源：Pediatric Pulmonology, 2014, 49(3): E72-E74.

DOI：10.1002/ppul.22858

• disc battery ingestion
• button battery ingestion
• acquired tracheo-esophageal fistula
• paediatric bronchoscopy

Disc battery ingestion in children is becoming increasingly common with the proliferation of small battery-powered electronic devices. In the case of esophageal impaction, the likelihood and severity of complications are proportionate to the time between ingestion and removal. Tracheo-esophageal fistulae (TOF) are a recognized complication and can be life-threatening. We describe an interesting case of disc battery ingestion with delayed recognition of a TOF. We document the tracheal mucosal healing process of a large airway defect and describe the role of bronchoscopy in guiding the timing of surgical intervention. This case highlights the important role of early bronchoscopic assessment in management of these patients. Pediatr Pulmonol. 2014; 49:E72-E74.