Accidental button battery ingestion presenting as croup

Gohil, Rohit; Culshaw, Joseph; Jackson, Paul; Singh, Sonali

doi:10.1017/s0022215114000073

Cited by 14 publications

(17 citation statements)

References 18 publications

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“…This finding is in accordance with previous literature [3, 5, 10]. Animal studies have shown that necrosis of the lamina propria in the esophagus can develop within 15 min and can expand to the outer muscular layer of the esophagus within 30 min after button battery ingestion [13].…”

Section: Discussionsupporting

confidence: 93%

“…The third mechanism is thought to cause the most damage due to hydrolysis, which leads to hydroxide at the negative pole of the battery, which results in a high pH. The mucus membrane touching the negative pole of the battery will be damaged the most [5, 11]. The new lithium 3-V button batteries are even more dangerous than the older 1.5-V button batteries.…”

Section: Discussionmentioning

confidence: 99%

“…Animal studies have shown that necrosis of the lamina propria in the esophagus can develop within 15 min and can expand to the outer muscular layer of the esophagus within 30 min after button battery ingestion [13]. Serious complications after the ingestion of button batteries are described in children both with removal of the battery within a short period after ingestion (2–2.5 h) and with removal after a longer period (3 months) [3, 5, 10]. Even after removal, complications can still develop.…”

Section: Discussionmentioning

confidence: 99%

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Serious complications after button battery ingestion in children

et al. 2018

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Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands.All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively.Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%).Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required. What is Known: • Button battery ingestion may result in serious and fatal complications. • Serious and fatal complications after button battery ingestion are increasing worldwide. What is New: • Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands. • Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Serious complications after button battery ingestion in children

et al. 2018

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“…Ingestion, aspiration, and impaction of small, coin-shaped, button batteries account for over 3,300 exposures reported annually to the American Poison Control Centers and can result in clinically morbid and even fatal sequelae [1][2][3][4][5][6][7][8]. In 2013, incidence of button battery ingestions was estimated at 10.5 per million people with a fatality rate of 0.5% [1].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical presentation frequently involves mucosal damage to respiratory or digestive epithelium from direct pressure necrosis, electrolysis, caustic exposures, or possibly heavy metal toxicity. However, atypical and grave sequelae from battery impactions have been described to include pneumonia, tympanic membrane perforation, vertebral osteomyelitis, vocal fold paralysis, trachea-esophageal, aorto-esophageal fistula, and death [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Identifying predictive factors for long-term complications following button battery impactions: A case series and literature review

Eliason

Melzer

Winters

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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Uncooked rice consumption: Causes, implications, regulation, and interventions

et al. 2022

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Background and Objectives Uncooked rice is not classified as produce under the Food Safety Modernization Act (FSMA) of the United States Food and Drug Administration produce safety rule because it is considered a food grain that is typically processed before consumption. However, uncooked rice is eaten by members of the raw food movement, pregnant pica patients, refugees in war zones, and young women as a perceived beauty treatment. Findings The consumption of raw rice may pose serious health risks such as foodborne illness, gastrointestinal issues, exposure to lectin and heavy metals, dental problems, and poor nutrition in consumers, especially those with low immunity including children and pregnant women. This review identifies the various circumstances under which raw rice is eaten or may be eaten, the possible health risks associated with raw rice consumption, and interventions that can be made to prevent the consumption of raw rice. Conclusions Many interventions are available to curb the raw rice consumption problem, including providing alternative sources of energy for cooking, medical interventions like iron therapy and psychological counseling for pica patients, and public education on the risks associated with the consumption of raw foods, and clearly differentiating foods that can be eaten raw from those that should not be eaten raw. Significance and Novelty This review raises awareness and provides vital multifaceted interventions that may influence policy changes that lead to a reduction in risk.

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Accidental button battery ingestion presenting as croup

Abstract: This case highlights the difficulty of diagnosing oesophageal foreign bodies. We also discuss the characteristics of button batteries which confer a greater risk of impaction, and the associated sequelae and complications.

Cited by 14 publications

References 18 publications

Serious complications after button battery ingestion in children

Serious complications after button battery ingestion in children

Identifying predictive factors for long-term complications following button battery impactions: A case series and literature review

Uncooked rice consumption: Causes, implications, regulation, and interventions

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