Fatal aorto-esophageal fistula in child: A case report
Abstract Esophageal foreign body ingestion is especially frequent in childhood and may cause fatal complications in case of late diagnosis and delayed treatment. We present a case of 2-year old girl who was admitted to emergency department with massive bleeding. However, she died due to an unrecogni...
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| Veröffentlicht in: | Journal of forensic and legal medicine 2014-02, Vol.22, p.112-114 |
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| container_title | Journal of forensic and legal medicine |
| container_volume | 22 |
| creator | Pehlivan, Sultan, MD Kara, Dogus Ozdemir, MD Turkkan, Dilhan, MD Akçan, Ramazan, MD Gokmen, Asude, MD Akduman, Baris, MD Karapirli, Mustafa, MD |
| description | Abstract Esophageal foreign body ingestion is especially frequent in childhood and may cause fatal complications in case of late diagnosis and delayed treatment. We present a case of 2-year old girl who was admitted to emergency department with massive bleeding. However, she died due to an unrecognized foreign body resulted an aorto-esophageal fistula. At autopsy an aorto-esophageal fistula was detected by gross examination. Tissue samples were obtained from the organs and fistula region. In histopathological examination, a calcified body with multinucleated giant cell and surrounding granulation tissue was detected at the bleeding site. An ulcerated fistula tract ran from the intima to the adventitia, passing through layers of esophageal wall was also noticed. The mortality rate for foreign body ingestion is less than 1%, except in cases of perforation. Therefore the presented case is among rare examples of fatal foreign body ingestions. |
| doi_str_mv | 10.1016/j.jflm.2013.12.020 |
| format | Article |
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We present a case of 2-year old girl who was admitted to emergency department with massive bleeding. However, she died due to an unrecognized foreign body resulted an aorto-esophageal fistula. At autopsy an aorto-esophageal fistula was detected by gross examination. Tissue samples were obtained from the organs and fistula region. In histopathological examination, a calcified body with multinucleated giant cell and surrounding granulation tissue was detected at the bleeding site. An ulcerated fistula tract ran from the intima to the adventitia, passing through layers of esophageal wall was also noticed. The mortality rate for foreign body ingestion is less than 1%, except in cases of perforation. Therefore the presented case is among rare examples of fatal foreign body ingestions.</description><identifier>ISSN: 1752-928X</identifier><identifier>EISSN: 1878-7487</identifier><identifier>DOI: 10.1016/j.jflm.2013.12.020</identifier><identifier>PMID: 24485434</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aortic Diseases - etiology ; Aortic Diseases - pathology ; Aorto-esophageal fistula ; Autopsies ; Child, Preschool ; Esophageal Fistula - etiology ; Esophageal Fistula - pathology ; Esophagus ; Fatal ; Fatal Outcome ; Female ; Foreign Bodies - complications ; Foreign body ; Hematemesis - etiology ; Humans ; Mortality ; Pathology ; Pediatrics ; Ulcer - pathology ; Vascular Fistula - etiology ; Vascular Fistula - pathology</subject><ispartof>Journal of forensic and legal medicine, 2014-02, Vol.22, p.112-114</ispartof><rights>Elsevier Ltd and Faculty of Forensic and Legal Medicine</rights><rights>2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine</rights><rights>Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Feb 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-b862511e556dd831ff27818b75131b0cb0425fe38d09c78df191999c534de54a3</citedby><cites>FETCH-LOGICAL-c439t-b862511e556dd831ff27818b75131b0cb0425fe38d09c78df191999c534de54a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jflm.2013.12.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24485434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pehlivan, Sultan, MD</creatorcontrib><creatorcontrib>Kara, Dogus Ozdemir, MD</creatorcontrib><creatorcontrib>Turkkan, Dilhan, MD</creatorcontrib><creatorcontrib>Akçan, Ramazan, MD</creatorcontrib><creatorcontrib>Gokmen, Asude, MD</creatorcontrib><creatorcontrib>Akduman, Baris, MD</creatorcontrib><creatorcontrib>Karapirli, Mustafa, MD</creatorcontrib><title>Fatal aorto-esophageal fistula in child: A case report</title><title>Journal of forensic and legal medicine</title><addtitle>J Forensic Leg Med</addtitle><description>Abstract Esophageal foreign body ingestion is especially frequent in childhood and may cause fatal complications in case of late diagnosis and delayed treatment. We present a case of 2-year old girl who was admitted to emergency department with massive bleeding. However, she died due to an unrecognized foreign body resulted an aorto-esophageal fistula. At autopsy an aorto-esophageal fistula was detected by gross examination. Tissue samples were obtained from the organs and fistula region. In histopathological examination, a calcified body with multinucleated giant cell and surrounding granulation tissue was detected at the bleeding site. An ulcerated fistula tract ran from the intima to the adventitia, passing through layers of esophageal wall was also noticed. The mortality rate for foreign body ingestion is less than 1%, except in cases of perforation. Therefore the presented case is among rare examples of fatal foreign body ingestions.</description><subject>Aortic Diseases - etiology</subject><subject>Aortic Diseases - pathology</subject><subject>Aorto-esophageal fistula</subject><subject>Autopsies</subject><subject>Child, Preschool</subject><subject>Esophageal Fistula - etiology</subject><subject>Esophageal Fistula - pathology</subject><subject>Esophagus</subject><subject>Fatal</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Foreign Bodies - complications</subject><subject>Foreign body</subject><subject>Hematemesis - etiology</subject><subject>Humans</subject><subject>Mortality</subject><subject>Pathology</subject><subject>Pediatrics</subject><subject>Ulcer - pathology</subject><subject>Vascular Fistula - etiology</subject><subject>Vascular Fistula - pathology</subject><issn>1752-928X</issn><issn>1878-7487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1rFTEUhoMotr36B1zIgBs3M-bkY5KIFEqxKhRcqOAuZJIzNuPcmWsyI_Tfm-G2Cl24SgjP-5LzHEJeAG2AQvtmaIZ-3DeMAm-ANZTRR-QUtNK1Elo9LnclWW2Y_n5CznIeKJWCKfmUnDAhtBRcnJL2yi1urNyclrnGPB9u3A8sD33Myzq6Kk6Vv4ljeFtdVN5lrBIeCvuMPOndmPH53bkj367ef738WF9__vDp8uK69oKbpe50yyQAStmGoDn0PVMadKckcOio76hgskeuAzVe6dCDAWOMl1wElMLxHXl97D2k-deKebH7mD2Oo5twXrMFYQSnipa-HXn1AB3mNU3ldxYkBSHBtLpQ7Ej5NOecsLeHFPcu3VqgdrNqB7tZtZtVC8wWqyX08q567fYY_kbuNRbg3RHA4uJ3xGSzjzh5DDGhX2yY4__7zx_E_Rin6N34E28x_5vD5hKwX7a9bmsFTinnLed_ALNmmkI</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Pehlivan, Sultan, MD</creator><creator>Kara, Dogus Ozdemir, MD</creator><creator>Turkkan, Dilhan, MD</creator><creator>Akçan, Ramazan, MD</creator><creator>Gokmen, Asude, MD</creator><creator>Akduman, Baris, MD</creator><creator>Karapirli, Mustafa, MD</creator><general>Elsevier Ltd</general><general>Churchill Livingstone Inc., Medical Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Fatal aorto-esophageal fistula in child: A case report</title><author>Pehlivan, Sultan, MD ; Kara, Dogus Ozdemir, MD ; Turkkan, Dilhan, MD ; Akçan, Ramazan, MD ; Gokmen, Asude, MD ; Akduman, Baris, MD ; Karapirli, Mustafa, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-b862511e556dd831ff27818b75131b0cb0425fe38d09c78df191999c534de54a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aortic Diseases - etiology</topic><topic>Aortic Diseases - pathology</topic><topic>Aorto-esophageal fistula</topic><topic>Autopsies</topic><topic>Child, Preschool</topic><topic>Esophageal Fistula - etiology</topic><topic>Esophageal Fistula - pathology</topic><topic>Esophagus</topic><topic>Fatal</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Foreign Bodies - complications</topic><topic>Foreign body</topic><topic>Hematemesis - etiology</topic><topic>Humans</topic><topic>Mortality</topic><topic>Pathology</topic><topic>Pediatrics</topic><topic>Ulcer - pathology</topic><topic>Vascular Fistula - etiology</topic><topic>Vascular Fistula - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pehlivan, Sultan, MD</creatorcontrib><creatorcontrib>Kara, Dogus Ozdemir, MD</creatorcontrib><creatorcontrib>Turkkan, Dilhan, MD</creatorcontrib><creatorcontrib>Akçan, Ramazan, MD</creatorcontrib><creatorcontrib>Gokmen, Asude, MD</creatorcontrib><creatorcontrib>Akduman, Baris, MD</creatorcontrib><creatorcontrib>Karapirli, Mustafa, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of forensic and legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pehlivan, Sultan, MD</au><au>Kara, Dogus Ozdemir, MD</au><au>Turkkan, Dilhan, MD</au><au>Akçan, Ramazan, MD</au><au>Gokmen, Asude, MD</au><au>Akduman, Baris, MD</au><au>Karapirli, Mustafa, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fatal aorto-esophageal fistula in child: A case report</atitle><jtitle>Journal of forensic and legal medicine</jtitle><addtitle>J Forensic Leg Med</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>22</volume><spage>112</spage><epage>114</epage><pages>112-114</pages><issn>1752-928X</issn><eissn>1878-7487</eissn><abstract>Abstract Esophageal foreign body ingestion is especially frequent in childhood and may cause fatal complications in case of late diagnosis and delayed treatment. We present a case of 2-year old girl who was admitted to emergency department with massive bleeding. However, she died due to an unrecognized foreign body resulted an aorto-esophageal fistula. At autopsy an aorto-esophageal fistula was detected by gross examination. Tissue samples were obtained from the organs and fistula region. In histopathological examination, a calcified body with multinucleated giant cell and surrounding granulation tissue was detected at the bleeding site. An ulcerated fistula tract ran from the intima to the adventitia, passing through layers of esophageal wall was also noticed. The mortality rate for foreign body ingestion is less than 1%, except in cases of perforation. Therefore the presented case is among rare examples of fatal foreign body ingestions.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>24485434</pmid><doi>10.1016/j.jflm.2013.12.020</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of forensic and legal medicine, 2014-02, Vol.22, p.112-114 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aortic Diseases - etiology Aortic Diseases - pathology Aorto-esophageal fistula Autopsies Child, Preschool Esophageal Fistula - etiology Esophageal Fistula - pathology Esophagus Fatal Fatal Outcome Female Foreign Bodies - complications Foreign body Hematemesis - etiology Humans Mortality Pathology Pediatrics Ulcer - pathology Vascular Fistula - etiology Vascular Fistula - pathology |
| title | Fatal aorto-esophageal fistula in child: A case report |
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