Case Report
Survival of Toddler with Aortoesophageal Fistula after Button Battery Ingestion
Table 1
Known survival cases of children with aortoesophageal fistula.
| Case | Study | Age (years) | Gender | BB type | Length of BB exposure (hours) | Presenting symptoms | Sentinel bleed | Outcome and associated complications |
| 1 | Spiers, 2012 | 0.83 | M | Unknown | 14 | Hematemesis | Yes | Esophageal stricture requiring continued intermittent balloon dilations |
| 2 | NCPC, 2017 | 2 | F | Lithium | Unknown | Hematemesis | Unknown | Gastrostomy tube; paralysis of the legs |
| 3 | Granata, 2018 | 3 | F | Lithium (CR 2025) | Unknown | Abdominal pain and hematemesis | No, but reduction in hemorrhage with 20 mm balloon in the esophagus, rapid shock resuscitation, and prompt intervention | Nasoduodenal tube for one month |
| 4 | Mahajan, 2018 | 3 | F | Unknown | Unknown | Hematemesis | Yes | Gastrostomy-jejunostomy tube; reconstructive surgery 6 months postop |
| 5 | Bartkevics, 2019 | 1 | F | Lithium (20 mm) | Unknown | Hematemesis, melena | Yes | No associated complications reported |
| 6 | NCPC, 2020 | 1.5 | F | Lithium (20 mm) | Unknown | Hematemesis | Unknown | Gastrostomy tube |
| 7 | Sinclair, 2021 | 6 | F | Unknown (21 mm) | 6 | Hematemesis | Yes | Temporary nasogastric tube |
| 8 | Current case, Gibbs, 2021 | 1.33 | F | Lithium (20 mm, 3V) | Unknown | Hematemesis | Yes | Temporary gastrostomy tube (now removed); left vocal cord paresis (improving); no esophageal stricture |
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