Hidden danger of button batteries

Foreign body ingestion is a common event among pediatric patients, especially in children less than 6 years of age. Although most cases are relatively benign, with the foreign body passing spontaneously or requiring a brief endoscopic procedure for removal, button battery ingestion is known to cause significant morbidity with the potential for mortality. Although aorto-esophageal fistula (AEF) is a rare complication following button battery ingestion, its clinical manifestations are significant and outcomes are poor. Early diagnosis and aggressive treatment are key in preventing fatal complications. We describe the successful management of an AEF which presented with hematemesis 8 days after removal of a button battery in a 17-month-old female. The literature regarding button battery ingestion and AEF is reviewed and treatment options including intraoperative anesthetic care discussed.

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Hidden danger of button batteries

Abstract: This case highlights a rare but important presentation of aorto-oesophageal fistula caused by a concealed foreign body. Primary prevention strategies are needed to address the danger associated with button batteries.

Cited by 3 publications

References 7 publications

Esophago-Vascular Fistulae in Children: Five Survivors, Literature Review, and Proposal for Management

Esophago-Vascular Fistulae in Children: Five Survivors, Literature Review, and Proposal for Management

Button battery exposures in Australian children: a prospective observational study highlighting the role of poisons information centres

Successful management of an aorto-esophageal fistula following button battery ingestion

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