20 mm lithium button battery causing an oesophageal perforation in a toddler: lessons in diagnosis and treatment
Swallowed button batteries (BB) which remain lodged in the oesophagus are at risk of serious complications, particularly in young children. The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mista...
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| Veröffentlicht in: | Archives of disease in childhood 2012-08, Vol.97 (8), p.746-747 |
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| container_title | Archives of disease in childhood |
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| creator | Soccorso, Giampiero Grossman, Ole Martinelli, Massimo Marven, Sean S Patel, Kirtik Thomson, Mike Roberts, Julian P |
| description | Swallowed button batteries (BB) which remain lodged in the oesophagus are at risk of serious complications, particularly in young children. The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome. BBs (20 mm) in children should be removed quickly and close observation is required as the damage initiated by the battery can lead to a significant injury within a few hours. |
| doi_str_mv | 10.1136/archdischild-2012-301631 |
| format | Article |
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The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome. BBs (20 mm) in children should be removed quickly and close observation is required as the damage initiated by the battery can lead to a significant injury within a few hours.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2012-301631</identifier><identifier>PMID: 22550318</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group</publisher><subject>Attrition (Research Studies) ; Biological and medical sciences ; Care and treatment ; Child, Preschool ; Children ; Diagnosis ; Diseases ; Electric Power Supplies - adverse effects ; Esophageal diseases ; Esophageal Perforation - etiology ; Esophageal Perforation - surgery ; Esophagoscopy ; Foreign Bodies - complications ; Foreign Bodies - diagnostic imaging ; General aspects ; Health aspects ; Humans ; Hydropneumothorax - diagnostic imaging ; Hydropneumothorax - etiology ; Hydropneumothorax - surgery ; Ingestion ; Lithium ; Lithium batteries ; Lithium cells ; Male ; Medical sciences ; Miscellaneous ; Ostomy ; Pediatric diseases ; Preschool children ; Prevention and actions ; Public health. 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The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome. BBs (20 mm) in children should be removed quickly and close observation is required as the damage initiated by the battery can lead to a significant injury within a few hours.</description><subject>Attrition (Research Studies)</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Diagnosis</subject><subject>Diseases</subject><subject>Electric Power Supplies - adverse effects</subject><subject>Esophageal diseases</subject><subject>Esophageal Perforation - etiology</subject><subject>Esophageal Perforation - surgery</subject><subject>Esophagoscopy</subject><subject>Foreign Bodies - complications</subject><subject>Foreign Bodies - diagnostic imaging</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hydropneumothorax - diagnostic imaging</subject><subject>Hydropneumothorax - etiology</subject><subject>Hydropneumothorax - surgery</subject><subject>Ingestion</subject><subject>Lithium</subject><subject>Lithium batteries</subject><subject>Lithium cells</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Ostomy</subject><subject>Pediatric diseases</subject><subject>Preschool children</subject><subject>Prevention and actions</subject><subject>Public health. 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The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome. BBs (20 mm) in children should be removed quickly and close observation is required as the damage initiated by the battery can lead to a significant injury within a few hours.</abstract><cop>London</cop><pub>BMJ Publishing Group</pub><pmid>22550318</pmid><doi>10.1136/archdischild-2012-301631</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of disease in childhood, 2012-08, Vol.97 (8), p.746-747 |
| issn | 0003-9888 1468-2044 |
| language | eng |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Attrition (Research Studies) Biological and medical sciences Care and treatment Child, Preschool Children Diagnosis Diseases Electric Power Supplies - adverse effects Esophageal diseases Esophageal Perforation - etiology Esophageal Perforation - surgery Esophagoscopy Foreign Bodies - complications Foreign Bodies - diagnostic imaging General aspects Health aspects Humans Hydropneumothorax - diagnostic imaging Hydropneumothorax - etiology Hydropneumothorax - surgery Ingestion Lithium Lithium batteries Lithium cells Male Medical sciences Miscellaneous Ostomy Pediatric diseases Preschool children Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Radiography Thoracotomy Treatment Outcome Young Children |
| title | 20 mm lithium button battery causing an oesophageal perforation in a toddler: lessons in diagnosis and treatment |
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