Friday, June 3, 2016
The X-Ray and the Button Battery
BY ALICE LEE, MD, HIMANSHU PATEL, MD, & SHIVANI PATEL, MD
An 11-month-old girl was brought to the emergency department with a two-week history of pooling secretions and feeding intolerance. A chest radiograph was performed, and detected a button battery.
ENT was consulted emergently, and the patient was taken to the operating room for a laryngoscopy. The battery was retrieved, and the patient was found to have erosion and perforation of the posterior esophageal wall, which was repaired. She was discharged home following a prolonged stay in the pediatric ICU. Six months later, the patient presented with cough and repeated bouts of emesis. An esophagram was performed, which showed a button battery lodged in the proximal esophagus with evidence of esophageal stricture as a delayed complication of battery cell corrosion.
Read the rest of this article and view more photos from the case at http://emn.online/WNLJune16.