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Case Report: Button battery ingestion-an underestimated emergency in children
Karin Konzett1, Stefanie Gang1, Lukas Poyntner2
1Department of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Frontiers in Pediatrics
|February 6, 2025
Summary
Button battery ingestion in toddlers can cause severe esophageal damage, including aortoesophageal fistula, leading to life-threatening bleeding. Increased clinical awareness and multidisciplinary management are crucial for preventing fatal outcomes.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Toxicology
Background:
- Battery-related emergency department visits are increasing.
- Button battery ingestion is a significant concern in young children.
- Esophageal injury from button batteries can be severe and life-threatening.
Observation:
- Two toddlers presented with severe hematemesis after unwitnessed button battery ingestion.
- Initial stabilization was followed by recurrent, life-threatening bleeding.
Findings:
- Pathological examination revealed aortoesophageal fistula secondary to caustic necrosis from the battery.
- This complication arose from caustic soda produced at the battery's minus pole.
Implications:
- Heightened clinical awareness for vascular complications is essential.
- Multidisciplinary treatment algorithms and public awareness campaigns are vital for prevention and management.
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