Aorto-Esophageal Fistula Secondary to Foreign Body Ingestion in Children: A Novel Treatment Approach and Comprehensive Narrative Review.

ABSTRACT: Background: Aorto-esophageal fistula (AEF) is a rare but life-threatening condition in children following foreign body (FB) ingestion, with button batteries (BB) being the most dangerous. These batteries involve severe tissue necrosis due to chemical and electrical reactions, often leading to fistula formation and catastrophic hemorrhage. Appropriate treatment for AEF is still undefined. Method: This report presents a novel case of AEF closure using a covered stent in a 4-year-old boy, complemented by a narrative review of 36 reported pediatric AEF cases from 1988 to 2024. Results: The review revealed that BB ingestion accounted for 67% of AEF cases, with a high mortality rate of 43%, underscoring the critical nature of this condition. Early sympto

SUBMITTER: Di Mitri M 

PROVIDER: S-EPMC12732019 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature