Bronchial Compression and Tracheosophageal Fistula Secondary to Prolonged Esophageal Foreign Body.
BACKGROUND
Foreign body ingestion is a common pediatric problem that can have a delayed presentation, as presented herein.


METHODS
We present the case of a 15-year-old female who developed bronchial compression and an acquired tracheoesophageal fistula secondary to a longstanding esophageal foreign body.


CONCLUSIONS
There are several challenges in diagnosis and management of this unusual situation. We review the literature regarding prolonged retention of foreign bodies and the challenges in diagnosis in the developmentally disabled child.


CONCLUSIONS
Providers must have a high suspicion for foreign bodies in the case of unusual symptoms present in children with neurodevelopmental delays.
Department of Otolaryngology-Head and Neck Surgery, University of Iowa Healthcare, Iowa City, Iowa, USA bryan-liming@uiowa.edu.
Bryan J
BJ
Liming
Department of Pediatrics, Division of Allergy, Immunology and Pulmonology, University of Iowa Healthcare, Iowa City, Iowa, USA.
Anthony
A
Fischer
Department of Surgery, Division of Pediatric Surgery, University of Iowa Healthcare, Iowa City, Iowa, USA.
Graeme
G
Pitcher
D000293:Adolescent; D001982:Bronchial Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D001999:Bronchoscopy; D025063:Chromosome Disorders / Q000150:complications; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D065886:Neurodevelopmental Disorders / Q000150:complications; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery
and airway; foreign bodies in the ear; nose; pediatric airway; pediatric airway surgery; pediatric otolaryngology; trachea