@article{ref1,
title="Button battery injury causing an aorto-oesophageal fistula in a 1-year-old child - Sengstaken-Blakemore tube, a life-saving bridge during surgery",
journal="Paediatrics and international child health",
year="2023",
author="Al-Taie, Baraa and Rosvall, Oda and Larsson, Magnus and Edholm, David",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The ingestion of button batteries (BB) by children has become more common, and this can cause oesophageal injury, perforation and even life-threatening haemorrhage.  A 1-year-old infant who presented to the emergency room with loss of appetite and vomiting, and was discharged with suspected gastro-enteritis is described. One week later she returned with haematemesis. Chest radiography detected a BB in the stomach and it was removed operatively. Haematemesis and hypovolaemic shock ensued and, while waiting for the paediatric cardiothoracic team, the profuse oesophageal bleeding was controlled using an adult-size Sengstaken—Blakemore tube (SBT). An aorto-oesophageal fistula at the aortic arch was identified and repaired. This case highlights the importance of suspecting ingestion of BB, and performing a chest radiography in children who present with swallowing difficulties, haematemesis and haemodynamic instability. The adult-size SBT was well tolerated by the child and was lifesaving in controlling the bleeding from the aorta.<p /> <p>Language: en</p>",
language="en",
issn="2046-9047",
doi="10.1080/20469047.2023.2277506",
url="http://dx.doi.org/10.1080/20469047.2023.2277506"
}