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Related Experiment Video

Updated: Apr 17, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Vascular ring complicates accidental button battery ingestion.

Ronald W Mercer1, Matthew C Schwartz2, Joshua Stephany3

  • 1Department of Radiology/Medical Imaging, Nemours Children's Hospital, Orlando; University of Central Florida, College of Medicine.

Clinical Imaging
|February 10, 2015
PubMed
Summary
This summary is machine-generated.

Button battery ingestion poses severe risks, especially with vascular rings. A child with trisomy 21 and a vascular ring died from esophageal erosion and fistula after swallowing a button battery.

Keywords:
Button batteryCTAFatal outcomeVascular ringVasculoesophageal fistula

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Area of Science:

  • Pediatric Gastroenterology
  • Thoracic Surgery
  • Medical Genetics

Background:

  • Button battery ingestion is a critical pediatric emergency.
  • Vascular anomalies, such as vascular rings, can significantly complicate foreign body retrieval.
  • Trisomy 21 is associated with an increased incidence of congenital heart and vascular anomalies.

Observation:

  • A 4-year-old boy with trisomy 21 presented after button battery ingestion.
  • The patient was diagnosed with a pre-existing vascular ring.
  • The button battery lodged at the level of the vascular ring.

Findings:

  • Esophageal erosion and vasculoesophageal fistula formation occurred.
  • Massive upper gastrointestinal bleeding was the cause of death.
  • The combination of button battery ingestion and a vascular ring led to a fatal outcome.

Implications:

  • This case highlights the critical danger of button battery ingestion in children with vascular rings.
  • Early recognition and management of esophageal foreign bodies in patients with vascular anomalies are crucial.
  • Enhanced vigilance is required for children with trisomy 21 due to their predisposition to vascular abnormalities.