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Severe esophageal injuries caused by accidental button battery ingestion in children

Sara Fuentes1, Indalecio Cano1, María Isabel Benavent1

  • 1Department of Pediatric Surgery, 12 de Octubre University Hospital, Madrid, Spain.

Journal of Emergencies, Trauma, and Shock
|November 18, 2014
PubMed

Insights

Button batteries lodged in the esophagus, though rare in children, pose a significant risk of severe injury. Prompt endoscopy is crucial to prevent serious esophageal damage from these foreign bodies.

Area of Science:

  • Pediatric Gastroenterology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Button battery ingestion is a rare but serious pediatric emergency.
  • Esophageal impaction of button batteries carries a high risk of severe tissue damage.

Observation:

  • Three pediatric cases of button battery impaction in the esophagus are presented.
  • All cases involved significant esophageal burns (EB).
  • Two of the three cases progressed to esophageal stenosis.

Findings:

  • A literature review identified 29 additional cases.
  • Documented injuries include esophageal burns (EB), perforation (EP), and tracheoesophageal fistula (TEF).
  • Tissue damage can occur rapidly, even within hours of ingestion.

Implications:

  • Immediate endoscopic intervention is critical for managing esophageal button battery foreign bodies.
  • Further research into button battery safety standards and size limitations is recommended for prevention.
  • Early diagnosis and management are key to mitigating severe pediatric esophageal injury.
Abstract

Keywords:
Button batteryesophageal burnesophageal foreign body

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