Dicembre 2018 - Volume XXXVII - numero 10
Pagine elettroniche
UOC di Pediatria e Patologia Neonatale, Ospedale “Mater Salutis” di Legnago, Verona
*Scuola di Specializzazione in Pediatria, Università di Verona
Indirizzo per corrispondenza: stefano.agnolin91@gmail.com
Key words: Button battery, Oesophageal ulcers, Foreign bodies, Oesophagogastroduodenoscopy
An 8-year-old previously healthy girl presented to the paediatric Emergency Unit with sudden onset of heartburn and upper abdominal pain following the ingestion of a button battery (BB). A chest and abdomen radiograph was rapidly obtained. It showed a round radiopaque 22-mm foreign body in the oesophagus. Just before an emergent endoscopic removal was performed, the girl vomited the battery. She was admitted to the inpatient medical floor, where she was ordered to take nothing by mouth. One day after admission, the esophagogastroduodenoscopy (EGD) revealed deep oesophageal ulcers but no evidence of oesophageal perforation/leak. In line with ESPGHAN/NASPGHAN guidelines for oesophageal BB ingestion, a computed tomography angiography of the chest was then obtained to delineate the location of the lesion and its proximity to the aorta, which was shown not to be injured. Repeat EGD on hospital day 14 revealed mucosal re-epithelisation of the oesophagus without clear stricture or evidence of perforation. The patient was then started on a clear-liquid diet and was then advanced to a mechanical soft diet the following day. She was discharged home on day 18.
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Pagine elettroniche
1UO di Pediatria, 2UO di ORL, Ospedale degli Infermi di Rimini, AUSL della Romagna
3UOS di Chirurgia Cervicale Dipartimento Chirurgia - UOC di ORL, 4UO di Anatomia Patologica, Ospedale Pediatrico “Bambino Gesù”, Roma
Indirizzo per corrispondenza: elena.fabbri@auslromagna.it
Key words: Branchial apparatus anomalies, Recurrent acute suppurative thyroiditis, Pyriform sinus fistulae
The paper describes the case of a 3-year-old girl who was repeatedly hospitalised for a swelling on her neck, which showed a scarce response to the antibiotic therapy, was significantly recurrent and was associated with fever and a remarkable increase in the inflammation indexes. On each admittance the clinic was characterised by a strict correlation between the onset of the swelling and dysphagia and dysphonia that suggested a malformation of the branchial apparatus. The final operatory and histological diagnosis was that of an anomaly of the third and fourth branchial pouches, associated with pyriform sinus fistulae.
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