Fatal aorto-esophageal fistula in child: A case report

Pehlivan, Sultan; Kara, Dogus Ozdemir; Türkkan, Dilhan; Akçan, Ramazan; Gökmen, Asude; Akduman, Barış; Karapırlı, Mustafa

doi:10.1016/j.jflm.2013.12.020

Cited by 7 publications

(2 citation statements)

References 8 publications

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“…If a child with no known disorder has a blunt foreign body lodged at a location other than the three typical locations described earlier, the possibility of a previously unknown abnormality should be considered. The mortality rate for foreign body ingestion is less than 1% if diagnosed early [5]. The incidence of AEF in cases of impacted esophageal foreign body is 0.08% [6].…”

Section: Commentmentioning

confidence: 99%

Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?

Clarke

Murthy

Hernandez

et al. 2016

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 99%

Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?

Clarke

Murthy

Hernandez

et al. 2016

The Annals of Thoracic Surgery

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“…However, strong suspicion is required in order to diagnose aortic fistulas to nearby structures (3,9,10).…”

Section: -5mentioning

confidence: 99%

Death due to Aortobronchial Fistula Related Massive Hemoptysis a Case Report

Özsoy¹,

Alkan²,

Pehlivan³

et al. 2016

Bull Leg Med

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Aortobronchial fistulas are relatively rare but usually fatal if not treated since they might cause massive hemoptysis. Here we present a case of death of a 17-year-old male due to massive hemoptysis secondary to aortobronchial fistula. The deceased was firstly admitted to an emergency department with dyspnea, tachypnea, tachycardia, resistant metabolic acidosis, confusion, and somnolence. He was diagnosed with “diabetic ketoacidosis” following examinations; however, detailed radiological and clinical investigations revealed community-acquired infection findings and medical treatment was started accordingly. He was discharged after 15 days of hospitalization; however, he died unexpectedly 12 days after discharge.At autopsy a 4-cm aortobronchial fistula was found between the thoracic aortic wall and the left main bronchus. Histopathological examination of fistula showed diffuse and intense necro-inflammatory reaction and inflammatory response with polymorphonuclear leukocytes and necrosis. Death was attributed to massive hemoptysis and blood aspiration due to aortobronchial fistula.A feedback system, towards healthcare centers, based on autopsy findings and exact cause and mechanisms of death will contribute improvement of diagnosis and treatment approach.Keywords: Aortopulmonary fistula; Respiratory Tract Fistula; Bronchial Fistula; Vascular Fistula; Hemoptysis; Cannabinoids; Autopsy.

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Sudden death following accidental ingestion of a button battery by a 17-month-old child: a case study

et al. 2016

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Cases of ingesting button batteries by children are not common clinical situations in forensic medicine. Although it can be a cause of death when associated with digestive perforations, no cases of sudden death have been reported in the literature. We report the case of a 17-month-old girl who presented at home with haematemesis, followed by failed cardiopulmonary resuscitation. The child had been treated on two occasions for nasopharyngitis, 14 and 18 days prior to her death. The post-mortem scan revealed a radio-opaque foreign body in the oesophagus. The autopsy revealed the presence of a round button battery, 20 mm in diameter, blocking the lumen of the oesophagus in its upper third, associated with two parietal oesophageal ruptures opposite each other. There was limited digestive haemorrhage, but above all significant bronchial inhalation of blood. Toxicology analyses showed slightly increased blood levels of the heavy metals of which the battery was composed (lithium, chromium, manganese and molybdenum). The anatomopathological analyses confirmed the recent nature of these ruptures. Ingestions of button batteries localised at the level of the oesophagus are the cases linking to the highest risk of complications, particularly for batteries with a diameter of more than 20 mm and in children under the age of 4. The main difficulty in such clinical situations is identifying when the ingestion occurred, as more often than not, no witnesses are present. We discuss the advantages of anatomopathology and toxicology examinations targeted towards heavy metals in these forensic situations.

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Fatal aorto-esophageal fistula in child: A case report

Cited by 7 publications

References 8 publications

Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?

Aortoesophageal Fistula in a Child With Undiagnosed Vascular Ring: Life-Threatening or Lethal?

Death due to Aortobronchial Fistula Related Massive Hemoptysis a Case Report

Sudden death following accidental ingestion of a button battery by a 17-month-old child: a case study

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