Lithium Battery Induced Tracheo-Esophageal Fistula.

概要

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Forty-eight hours after swallowing a foreign object, a male infant aged 1 year and 9 months was brought to our out-patientclinic. His father had noticed that a disc-type battery was lost. X-P during the initial examination revealed a round foreign body lodged about 3 cm beneath the entry to the child's esophagus. Esophagoscopy was performed under general anesthesia, and the object was removed. The foreign body was a battery. About 2 weeks later, esophagoscopy revealed a tracheal fistula where the battery had been. We performed conservative treatments such as intravenous antibiotics, N-G tube and intravenous hyperalimentation(IVH) for nourishment for about 3 months. Subsequent esophagoscoppy indicated the fistula had closed. The charge of a lithium battery is twice that of the conventional alkali manganese or mercury battery, therefore it is imperative that swift treatment be given when one is swallowed.
耳鼻咽喉科臨床学会の論文