A CASE OF TREATMENT FOR ESOPHAGEAL STENOSIS CAUSED BY INGESTION OF LITHIUM BATTERY AND ESOPHAGEAL PERFORATION RELATED TO BALLON DILATATION

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 61; no. 10; pp. 2626 - 2630
• Main Authors: SUGAWARA, Gen, YAMAGUCHI, Akihiro, ISOGAI, Masatoshi, HARADA, Tohru, KANEOKA, Yuji, AKUTAGAWA, Atsushi, SUZUMURA, Kiyoshi, USUI, Tatsuya, KITAO, Toshinori, SASAYA, Takahiro, SHINGUH, Yuji, HIBINO, Masayuki
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2000
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.61.2626

A 12-year-old boy who had cerebral palsy was brought to the emergency outpatient unit in our hospital because of fever and vomiting persisted for a few days. Plain chest X-ray film showed a round shadow at the bifurcation of the trachea, suggesting an esophageal foreign body. Under general anesthesia, a removal of the foreign body was performed using a direct esophagoscope. The foreign body was an electric battery, and was relatively easy to remove. Stenosis of the esophageal lumen on the anal side was detected, and esophageal dilatation was performed, causing perforation at the stenotic site. Immediately, surgery was performed. The perforation was present in the anterior wall of the esophagus. An incision was made above the perforation site to examine the esophageal lumen. In the esophagus on the anal side, a two-thirds circumferential ulcerative lesion was detected, suggesting cicatricial stenosis related to this lesion. The ulcerative cicatricial tissue was resected with a portion of muscle layer. In the posterior wall, interrupted suture of the normal esophageal mucosa was performed in the esophageal short axis direction. In the anterior wall, two-layer interrupted suture was performed in the esophageal long axis direction. The patient was in the respiratory control for a week. Postoperative course was uneventful and the patient was discharged from the hospital on 31st hospital day.