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[Accidental ingestion of button battery]
V Laugel1, J Beladdale, B Escande
1Service de pédiatrie 2, hôpital de Hautepierre, Strasbourg, France.
Summary
Button battery ingestion in children can cause severe digestive injuries. Urgent endoscopic removal is needed for esophageal batteries, while others require monitoring for safe passage.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Emergency Medicine
Context:
- Button battery ingestion is a common pediatric emergency.
- Batteries pose risks of electrochemical burns and caustic substance release.
- Esophageal impaction carries severe risks including perforation and stenosis.
Purpose:
- To outline the diagnostic and management strategies for pediatric button battery ingestion.
- To highlight the mechanisms of injury and associated risks.
- To emphasize the importance of prompt medical intervention.
Summary:
- Button batteries can cause severe gastrointestinal injury via electrochemical burns or caustic release.
- Esophageal button batteries require urgent endoscopic removal; other locations necessitate monitoring.
- Radiography is crucial for diagnosis, and follow-up confirms spontaneous elimination.
Impact:
- Informed clinical decision-making for button battery ingestions.
- Reduced morbidity and mortality associated with pediatric button battery ingestion.
- Enhanced parental and physician awareness regarding prevention and management.