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Archives de pédiatrie
Volume 13, n° 7
pages 1047-1049 (juillet 2006)
Doi : 10.1016/j.arcped.2006.02.010
Received : 27 May 2005 ;  accepted : 16 February 2006
Un asthme rebelle en rapport avec un corps étranger oesophagien méconnu
Severe asthma due to an esophageal foreign body in a child
 

D. Lavarde a, , E. Deneuville a, M. Dagorne b, M. Rambeau c, E. Le Gall a
a Département de médecine de l'enfant et de l'adolescent, hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France 
b Service de pédiatrie, hôpital Yves-Le-Foll, 10, rue Marcel-Proust, 22000 Saint-Brieuc, France 
c Service de radiologie, hôpital Sud, 16, boulevard de Bulgarie, 35000 Rennes, France 

Auteur correspondant.
Résumé

Un enfant de 4 ans était suivi pour un asthme résistant à un traitement inhalé bien conduit. Les symptômes respiratoires sont restés inexpliqués pendant plus de 3 ans. Lors d'un épisode de dyspnée aiguë fébrile une masse médiastinale périoesophagienne associée à des lésions érosives des 2 corps vertébraux adjacents a été découverte. Le transit oesogastroduodénal a mis en évidence un corps étranger enclavé dans un diverticule oesophagien. L'extraction du corps étranger par endoscopie rigide a permis la disparition de l'ensemble des symptômes respiratoires.

The full text of this article is available in PDF format.
Abstract

A 4-year-old boy had infantile bronchial asthma resistant to treatment. He was referred for a febrile respiratory distress which led to the diagnosis of periesophagus mediastinis mass with erosion of both contiguous vertebral discs. The oesophagogram showed a foreign body in an esophageal diverticulum. After its extraction, all pulmonary symptoms disappeared.

The full text of this article is available in PDF format.

Mots clés : Asthme, Corps étranger, Œsophage

Keywords : Asthma, Esophagus, Foreign bodies, Child




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