Abstract
We report a case of acute bronchopneumonia and esophagotracheal fistula caused by a swallowed button battery in a 3-year-old girl. It was unclear exactly how long the battery had been trapped in the esophagus. The patient had undergone a tonsillectomy and adenoidectomy 3 weeks before the battery was finally exposed on an X-ray film. She refused to eat solid food after the surgery and stopped eating completely 10 days later. Three weeks after surgery, she presented to the Emergency Department with vomiting and acute respiratory distress, experienced cardiopulmonary arrest in the intensive care unit and could not be resuscitated. Postmortem examination revealed severe acute bronchopneumonia and massive blood aspiration due to an esophagotracheal fistula secondary to a button battery lodged in the esophagus. This case highlights the importance of including a swallowed button battery in the differential diagnosis of a toddler with dysphagia and anorexia.
References
Litovitz T, Schmitz BF. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics. 1992;89:747–57.
Litovitz T. Button battery ingestions. JAMA. 1983;249(18):2495–500.
Studley JGN, Linehan IP, Ogilvie AL, Dowling BL. Swallowed button batteries: is there a consensus on management? Gut. 1990;31:867–70.
Yardeni D, Yardeni H, Coran AG, Golladay ES. Severe esophageal damage due to button battery ingestion: can it be prevented? Pediatr Surg Int. 2004;20:496–501.
Blatnik DS, Toohill RJ, Lehman RH. Fatal complication from an alkaline battery foreign body in the esophagus. Ann Otol Rhinol Laryngol. 1977;86:611–5.
Shabino CL, Feinberg AN. Esophageal perforation secondary to alkaline battery ingestion. JACEP. 1979;8:360–2.
Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg. 2007;84:1854–7.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
LaFrance, D.R., Traylor, J.G. & Jin, L. Aspiration pneumonia and esophagotracheal fistula secondary to button battery ingestion. Forensic Sci Med Pathol 7, 283–286 (2011). https://doi.org/10.1007/s12024-010-9214-5
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12024-010-9214-5