Delayed mediastinal abscess formation following esophageal dilation and triamcinolone injection for stricture after caustic ingestion: A case series

Abstract

Esophageal stricture following caustic ingestion or button battery injury is common and requires serial dilations. Dilation may be augmented with triamcinolone injection. Here we present two patients, ages 3 and 1 years old, who presented with respiratory distress, and were found to have delayed abscess formation following esophageal dilation with triamcinolone injection. To our knowledge, these are the first described cases of delayed mediastinal abscess, causing respiratory distress, following esophageal dilation with triamcinolone injection for stricture after caustic injury.

Keywords

• Esophageal dilation
• Esophageal stricture
• Button battery
• Caustic ingestion
• Triamcinolone injection
• Mediastinal abscess