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Cylindrical battery ingestion, though less common than button batteries, can cause severe gastrointestinal damage. This case highlights endoscopic removal of eight AA batteries, emphasizing early extraction for ingested cylindrical batteries.

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Area of Science:

  • Gastroenterology
  • Medical Device Technology

Background:

  • Button battery ingestion is well-documented, but cylindrical battery ingestion is less described.
  • Cylindrical batteries pose a risk of corrosive gastrointestinal damage, including ulceration and perforation, upon prolonged retention.

Observation:

  • A case of a 45-year-old male with mental retardation presenting after ingesting eight AA batteries.
  • Initial plain abdominal X-ray confirmed the presence of eight cylindrical batteries in the gastrointestinal tract.

Findings:

  • Endoscopic removal of four AA batteries using a polypectomy snare was performed approximately 24 hours post-ingestion.
  • The remaining four batteries were successfully removed via colonoscopy after reaching the rectum.

Implications:

  • Leaked battery components can cause chemical mucosal damage; early extraction is recommended for ingested cylindrical batteries.
  • Conservative management with monitoring is acceptable for asymptomatic patients once batteries pass the pyloric ring.
  • A polypectomy snare is an effective tool for endoscopic removal of ingested cylindrical batteries.