Case Report

Survival of Toddler with Aortoesophageal Fistula after Button Battery Ingestion

Table 1

Known survival cases of children with aortoesophageal fistula.

CaseStudyAge (years)GenderBB typeLength of BB exposure (hours)Presenting symptomsSentinel bleedOutcome and associated complications

1Spiers, 20120.83MUnknown14HematemesisYesEsophageal stricture requiring continued intermittent balloon dilations

2NCPC, 20172FLithiumUnknownHematemesisUnknownGastrostomy tube; paralysis of the legs

3Granata, 20183FLithium (CR 2025)UnknownAbdominal pain and hematemesisNo, but reduction in hemorrhage with 20 mm balloon in the esophagus, rapid shock resuscitation, and prompt interventionNasoduodenal tube for one month

4Mahajan, 20183FUnknownUnknownHematemesisYesGastrostomy-jejunostomy tube; reconstructive surgery 6 months postop

5Bartkevics, 20191FLithium (20 mm)UnknownHematemesis, melenaYesNo associated complications reported

6NCPC, 20201.5FLithium (20 mm)UnknownHematemesisUnknownGastrostomy tube

7Sinclair, 20216FUnknown (21 mm)6HematemesisYesTemporary nasogastric tube

8Current case, Gibbs, 20211.33FLithium (20 mm, 3V)UnknownHematemesisYesTemporary gastrostomy tube (now removed); left vocal cord paresis (improving); no esophageal stricture