Janarthanan Venkatesh, Moorthi Kumaran, Shaha Kusa Kumar
From the Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Am J Forensic Med Pathol. 2019 Sep;40(3):298-301. doi: 10.1097/PAF.0000000000000495.
Foreign body ingestion is not uncommonly seen in children, with most such ingestions occurring between 6 months to 3 years of age. Button battery ingestion constitutes approximately 2% of all ingested foreign bodies in children. Button batteries are disc-shaped power units used for various electronic appliance, gadgets, and toys and often contain various toxic chemical substances such as heavy metal salts and alkali. Button batteries may become lodged in the upper digestive tract, producing severe damage to the adjacent tissues by various mechanisms. A death of a neonate due to a button battery lodging in the upper digestive tract leading to tracheoesophageal fistula and esophageal perforation is presented. To the best of authors' knowledge, the present case is the youngest death reported due to button battery lodgment, and the challenges of investigation in such a case are discussed.
儿童吞食异物并不罕见，大多数此类吞食事件发生在6个月至3岁之间。纽扣电池吞食约占儿童吞食的所有异物的2%。纽扣电池是用于各种电子设备、小器具和玩具的圆盘形电源装置，通常含有各种有毒化学物质，如重金属盐和碱。纽扣电池可能会滞留在上消化道，通过各种机制对相邻组织造成严重损害。本文介绍了一名新生儿因纽扣电池滞留在上消化道导致气管食管瘘和食管穿孔而死亡的病例。据作者所知，本病例是因纽扣电池滞留导致死亡的最年轻病例，并讨论了此类病例调查中的挑战。
