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Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging
  1. Sanika Sanjeev Agarwal,
  2. Devdas Sudhakar Shetty,
  3. Manisha Vishnu Joshi and
  4. Siddhant Uttam Manwar
  1. Department of Radiodiagnosis, B.Y.L. Nair Charitable Hospital and Topiwala National Medical College, Mumbai, Maharashtra, India
  1. Correspondence to Dr Manisha Vishnu Joshi, drmanishavjoshi{at}


Foreign body ingestion in paediatric population is a very common problem. Usually the foreign bodies pass through the gastrointestinal tract without any complications; however, certain foreign bodies like button batteries might cause severe injuries like tracheo-oesophageal fistula (TOF), oesophago-aortic fistula, perforation and mediastinitis, vocal cord paralysis and stenosis after suspected perforation. In our case, an infant developed a TOF following ingestion of button battery which was diagnosed with the help of CT virtual bronchoscopy. It also contributed to the decision making regarding suitable operative techniques. Thus, CT virtual bronchoscopy can help in the diagnosis and detection of any complications due to foreign body ingestion with the added advantage of being non-invasive.

  • radiology
  • paediatrics
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  • Contributors SSA: drafting the work and revising it critically for important intellectual content. Ensuring accountability for accuracy or integrity of the work. DSS: final approval of the version to be published. MVJ: planning, conception and design of the work; acquisition and analysis of imaging data for the work and correspondence with the journal. SUM: acquisition of data, communication with patient and clinical follow-up.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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