title: [Fatal aorto-esophageal fistula due to accidental ingestion of button battery. Algorithm for management of disk-battery ingestion in patients younger than 6 years old].
abstract: The ingestion of disc battery is a common problem in children and current treatment may be sometime inadequate. Ingested button batteries have the potential to cause significant morbidity and mortality. Ingestion of button batteries has been seen with increasing frequency over the last decade, particularly for children aged younger than 6 years. If most cases of disc battery ingestion run uneventful courses, however, harmful outcomes are more common with ingestion of lithium batteries (3V) with a diameter greater than or equal to 16 mm. These young children have to benefit from a chest radiograph within 2hours which follow the ingestion. If the battery impacts in the esophagus, emergency endoscopic management is necessary. We report the case of one young child died followed an unknown lithium disk-battery ingestion complicated with an aorto-œsophageal fistula. We propose a protocol of specific coverage for patients aged younger than 6 years old.
authors.affiliation: CHRU de Lille, centre antipoison et toxicovigilance, 5, avenue Oscar-Lambret, 59037 Lille cedex, France. Electronic address: patrick.nisse@chru-lille.fr.
authors.forename: Patrick
authors.initials: P
authors.lastname: Nisse
authors.affiliation: Service de réanimation, unité de surveillance continue pédiatriques, hôpital Jeanne-de-Flandre, CHRU, 59037 Lille cedex, France.
authors.forename: Marie Emilie
authors.initials: ME
authors.lastname: Lampin
authors.affiliation: Clinique de chirurgie et orthopédie de l'enfant, hôpital Jeanne-de-Flandre, CHRU, 59037 Lille cedex, France.
authors.forename: Estelle
authors.initials: E
authors.lastname: Aubry
authors.affiliation: Service de pédiatrie et urgences pédiatriques, hôpital Victor-Provo, 11, boulevard Lacordaire, 59056 Roubaix cedex, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Cixou
authors.affiliation: CHRU de Lille, centre antipoison et toxicovigilance, 5, avenue Oscar-Lambret, 59037 Lille cedex, France.
authors.forename: Monique
authors.initials: M
authors.lastname: Mathieu-Nolf
mesh_terms: D000465:Algorithms; D001018:Aortic Diseases / Q000209:etiology* / Q000628:therapy; D002675:Child, Preschool; D004435:Eating; D004937:Esophageal Fistula / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000628:therapy; D006801:Humans; D016157:Vascular Fistula / Q000209:etiology* / Q000628:therapy