Karnecki Karol, Pieśniak Dorota, Jankowski Zbigniew, Gos Tomasz, Kaliszan Michał
Department of Forensic Medicine, Medical University of Gdańsk, ul. Dębowa 23, 80-204 Gdańsk, Poland.
Department of Forensic Medicine, Medical University of Gdańsk, ul. Dębowa 23, 80-204 Gdańsk, Poland.
Leg Med (Tokyo). 2020 Jul;45:101707. doi: 10.1016/j.legalmed.2020.101707. Epub 2020 Apr 15.
Small children put various objects into their mouths, which is one of their ways of exploring the surrounding world. Apart from toy parts, e.g. Lego® bricks or magnetic spheres, such objects include coins, small stones, as well as batteries used for different electric devices. Such batteries, especially the flat, round button type, may be ingested and become impacted in one of the physiological narrowing sites of the oesophagus, leading to serious complications. The case of a 15-month-old child is presented, who died due to a massive gastrointestinal haemorrhage from an aortoesophageal fistula that developed at the site of a pressure ulcer caused by an impacted button battery. The presented case shows that ingestion of even a small battery may lead to death. The asymptomatic course of the battery ingestion significantly hinders both the assessment of circumstances and the time of the battery ingestion. Sudden death may result from a massive haemorrhage from a pressure-induced injury to a big blood vessel.
小孩子会把各种各样的东西放进嘴里，这是他们探索周围世界的方式之一。除了玩具部件，如乐高积木或磁球外，这些物品还包括硬币、小石子以及用于不同电子设备的电池。这类电池，尤其是扁平的圆形纽扣型电池，可能会被吞食并卡在食管的某个生理狭窄部位，从而导致严重并发症。本文介绍了一名15个月大儿童的病例，该儿童因一枚纽扣电池嵌顿导致压力性溃疡，进而引发主动脉食管瘘，最终死于大量胃肠道出血。该病例表明，即使吞食一枚小电池也可能导致死亡。电池吞食过程无症状会严重妨碍对情况的评估以及电池吞食的时间判断。压力导致大血管损伤引发的大量出血可能会导致猝死。
