PMC4955505_01
Plain x-ray showing button battery in the oesophagus with its characteristic peripheral lucency
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F1
An X-ray revealed a button battery lodged in the upper oesophagus with characteristic peripheral lucency [Figure 1].
Water-soluble contrast swallow demonstrating a tracheooesophageal fistula
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F2
A water-soluble contrast swallow demonstrated a large tracheo-oesophageal fistula at the level of C7-T1 [Figure 2], and the patient was admitted to the paediatric intensive care unit where she was intubated and a nasogastric tube passed.
Resection of unhealthy portion of trachea with an endotracheal tube traversing the defect
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F3
This amounted to three tracheal rings in the trachea, which left a 3-4 cm gap between the proximal and distal tracheal ends with the endotracheal tube traversing the defect [Figure 3].
Completed tracheal repair. Oesophageal repair is hidden behind
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F4
An end-to-end anastomosis of both trachea and oesophagus was done using 4-0 polydioxanone, which was achieved without tension due to the prior mobilization [Figure 4].