- Case report
- Open Access
Severe esophageal damage caused by button battery ingestion in a 10-month-old infant
The Egyptian Journal of Otolaryngology volume 31, pages204–206(2015)
Foreign body ingestion is commonly encountered in infants and young children. Button batteries represent a special category of pediatric ingested foreign bodies because of the serious possibility of complications when impacted in the esophagus. Herein we report a case of emergency medicine in a 10-month-old infant who accidentally ingested a button battery, causing severe esophageal damage. He presented with excessive crying and decreased oral intake. A chest radiograph revealed a coin shadow at the mid-esophagus, which subsequently led to the diagnosis and removal of the object. Postoperative treatment options such as antireflux therapy, antibiotic therapy, steroids, and esophageal stenting, which are still controversial, have been discussed in this paper. With increasing accessibility to electronic toys and gadgets, accidental ingestion is on the rise in infants and young children. Judicious management should be tailored in every case.
Maves MD, Carithers JS, Birck HG. Esophageal burns secondary to disc battery ingestion. Ann Otol Rhinol Laryngol 1984; 93(Pt 1):364–369.
Raboei EH, Syed SS, Maghrabi M, El Beely S. Management of button battery stricture in 22-day-old neonate. Eur J Pediatr Surg 2009; 19: 130–131.
Yardeni D, Yardeni H, Coran AG, Golladay ES. Severe esophageal damage due to button battery ingestion: can it be prevented? Pediatr Surg Int 2004; 20: 496–501.
Hamilton JM, Schraff SA, Notrica DM. Severe injuries from coin cell battery ingestions: two case reports. J Pediatr Surg 2009; 44: 644–647.
Imamoglu M, Cay A, Kosucu P, et al. Acquired tracheo-esophageal fistulas caused by button battery lodged in the esophagus. Pediatr Surg Int 2004; 20: 292–294.
Litovitz TL. Button battery ingestions: a review of 56 cases. JAMA 1983; 249: 2495–2500.
Houck JC, De Angelo L, Jacob RA. The dermal chemical response to alkali injury. Surgery 1962; 51: 503–507.
Votteler TP, Nask JC, Rutledge JC. The hazard of ingested alkaline disc batteries in children. JAMA 1983; 249: 2504–2506.
Saleem MM. Acquired oesophageal strictures in children: emphasis on the use of string-guided dilatations. Singapore Med J 2009; 50: 82–86.
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Lasrado, S., Moras, K., Pinto, G.J.O. et al. Severe esophageal damage caused by button battery ingestion in a 10-month-old infant. Egypt J Otolaryngol 31, 204–206 (2015). https://doi.org/10.4103/1012-5574.161624
- button battery
- emergency medicine
- esophageal injury
- foreign body