Ingested Metallic Spool: A Rare Cause of Acquired Tracheoeso
Foreign body (FB) ingestion is a common problem in children. Prolonged impaction of FB in esophagus may result in tracheoesophageal fistula (TEF). A 6-year-old girl presented with progressive dysphagia and recurrent chest infections. No history of FB ingestion was given by parents. Further investigations revealed FB (spool) in cervical esophagus. Patient was successfully managed by surgery through trans-cervical approach.
A 6-year-old girl presented to the pediatric ENT department with fever, cough and respiratory distress for 5 months. She also had progressive dysphagia with infrequent non-bilious vomiting. On examination, she was febrile (1000F), pulse 100/min, and respiratory rate of 30/min. All laboratory investigations were within normal limits. On chest X-ray a metallic foreign body was found (Fig. 1). The child was developmentally normal and neither gave any history of FB ingestion nor did her parents knew about it. On CT scan chest, there were bilateral pulmonary infiltrates due to recurrent chest infections. In addition....