Résumé
Bien que l’ingestion d’un corps étranger (CE) soit un accident classique chez l’enfant, une complication sévère révélatrice est un événement rare. La fistule œsotrachéale est l’une de ces complications rares, elle est habituellement secondaire à l’ingestion de pile. Une pièce de monnaie comme cause de cette fistule n’a pas été antérieurement décrite. Nous rapportons le cas d’une fistule œsotrachéale chez une jeune de 12 ans secondaire à une pièce de monnaie impactée dans la paroi œsophagienne. Les manifestations atypiques étaient à l’origine d’un retard diagnostique de l’ingestion du CE et de ce type de complication. À travers cette observation et une revue de la littérature, nous insistons sur les particularités diagnostiques et de prise en charge de ce type de complication parfois grave.
Abstract
Even though the ingestion of a foreign body (FB) is a classic childhood accident, severe complications rarely occur. A tracheo-oesophageal fistula is one such rare complication, and commonly occurs after the ingestion of a battery. There have been no previously described cases of a coin causing this type of fistula. We are reporting on the case of a tracheo-oesophageal fistula in a 12-year-old child, following the impact of a coin in the oesophageal wall. Atypical signs resulted in a delayed diagnosis of the ingestion of a FB and of this type of complication. Through this observation and a review of the literature, we emphasise the diagnosis characteristics and the treatment of this often serious type of complication.
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Amouri, A., Medhioub, M., Mnif, L. et al. Fistule œsotrachéale secondaire à l’ingestion d’une pièce de monnaie. Acta Endosc 42, 29–32 (2012). https://doi.org/10.1007/s10190-011-0224-2
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DOI: https://doi.org/10.1007/s10190-011-0224-2