ArticleJACC. Case reports2025
Hidden Esophageal Foreign Body Masquerading as Aberrant Innominate Artery in an Infant With Recurrent Stridor.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRecurrent wheezing and stridor in infants are typically caused by airway abnormalities. However, esophageal foreign bodies, vascular anomalies, or mediastinal masses may also cause similar airway compression. CASE SUMMARY: A 13-month-old boy had months of recurrent wheezing and stridor. Chest radiography and flexible fiberoptic endoscopy were inconclusive. Contrast-enhanced computed tomography revealed anterior tracheal compression, initially suspected to be an aberrant innominate artery. Closer review identified a plastic object within the esophagus. Endoscopic removal resolved the symptoms. DISCUSSION: This case illustrates how an esophageal foreign body can mimic vascular anomalies with tracheal compression and complicate diagnosis, especially when there is no clear ingestion history. TAKE-HOME MESSAGE: Clinicians should consider esophageal foreign bodies in infants with unexplained airway symptoms and use imaging to distinguish among potential causes.
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