Case Report: Button battery ingestion—an underestimated emergency in children
In general, the battery-related emergency department visit rate has continued to rise in the last decade. We present two cases of previously healthy toddlers (14 and 24 months old) with unwitnessed battery ingestion, who presented with massive, hematocrit-relevant hematemesis. Initially, both childr...
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| Format: | Article |
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1484458/full |
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| author | Karin Konzett Stefanie Gang Lukas Poyntner Eberhard Reithmeier Susanne Dertinger Burkhard Simma |
| author_facet | Karin Konzett Stefanie Gang Lukas Poyntner Eberhard Reithmeier Susanne Dertinger Burkhard Simma |
| author_sort | Karin Konzett |
| collection | DOAJ |
| description | In general, the battery-related emergency department visit rate has continued to rise in the last decade. We present two cases of previously healthy toddlers (14 and 24 months old) with unwitnessed battery ingestion, who presented with massive, hematocrit-relevant hematemesis. Initially, both children showed stable vital signs. Following a symptom-free interval, both had a recurrence of massive hematemesis, which could not be controlled despite a multidisciplinary approach with pediatric, radiology, ENT specialists, endoscopy and anesthesia. Pathological workup showed necrosis with secondary aortoesophageal fistula due to battery-induced colliquation necrosis caused by caustic soda produced at the minus pole. We conclude, that preclinical risk scores, excellent clinical pathways (e.g., from Children's Hospital of Philadelphia) and detailed approaches from the National Capital Poison Center in the USA and also the European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) offer clear and concise instructions for the management of button battery ingestion, but clinical awareness for vascular complications must be heightened. A multidisciplinary treatment algorithm for this fatal complication should be implemented and trained in pertinent hospitals. Moreover, it is of great importance to raise awareness for button battery ingestion in educational campaigns for parents and caregivers. |
| format | Article |
| id | doaj-art-c4e1d84d7e8f4b59887e7a410d77908a |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-c4e1d84d7e8f4b59887e7a410d77908a2025-01-22T04:11:14ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14844581484458Case Report: Button battery ingestion—an underestimated emergency in childrenKarin Konzett0Stefanie Gang1Lukas Poyntner2Eberhard Reithmeier3Susanne Dertinger4Burkhard Simma5Department of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaDepartment of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaDepartment of Otorhinolaryngology, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaDepartment of Anaesthesiology and Critical Care Medicine, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaDepartment of Pathology Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaDepartment of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, AustriaIn general, the battery-related emergency department visit rate has continued to rise in the last decade. We present two cases of previously healthy toddlers (14 and 24 months old) with unwitnessed battery ingestion, who presented with massive, hematocrit-relevant hematemesis. Initially, both children showed stable vital signs. Following a symptom-free interval, both had a recurrence of massive hematemesis, which could not be controlled despite a multidisciplinary approach with pediatric, radiology, ENT specialists, endoscopy and anesthesia. Pathological workup showed necrosis with secondary aortoesophageal fistula due to battery-induced colliquation necrosis caused by caustic soda produced at the minus pole. We conclude, that preclinical risk scores, excellent clinical pathways (e.g., from Children's Hospital of Philadelphia) and detailed approaches from the National Capital Poison Center in the USA and also the European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) offer clear and concise instructions for the management of button battery ingestion, but clinical awareness for vascular complications must be heightened. A multidisciplinary treatment algorithm for this fatal complication should be implemented and trained in pertinent hospitals. Moreover, it is of great importance to raise awareness for button battery ingestion in educational campaigns for parents and caregivers.https://www.frontiersin.org/articles/10.3389/fped.2024.1484458/fullbutton batteriesfatal outcomeaortoesophageal fistulachocking hazardbutton cell ingestion |
| spellingShingle | Karin Konzett Stefanie Gang Lukas Poyntner Eberhard Reithmeier Susanne Dertinger Burkhard Simma Case Report: Button battery ingestion—an underestimated emergency in children Frontiers in Pediatrics button batteries fatal outcome aortoesophageal fistula chocking hazard button cell ingestion |
| title | Case Report: Button battery ingestion—an underestimated emergency in children |
| title_full | Case Report: Button battery ingestion—an underestimated emergency in children |
| title_fullStr | Case Report: Button battery ingestion—an underestimated emergency in children |
| title_full_unstemmed | Case Report: Button battery ingestion—an underestimated emergency in children |
| title_short | Case Report: Button battery ingestion—an underestimated emergency in children |
| title_sort | case report button battery ingestion an underestimated emergency in children |
| topic | button batteries fatal outcome aortoesophageal fistula chocking hazard button cell ingestion |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1484458/full |
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