Bulna Amber, Fifi Amanda C
Division of Pediatric Gastroenterology, Hepatology & Nutrition, Department of Pediatrics, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Pediatr Rep. 2021 Sep 1;13(3):511-519. doi: 10.3390/pediatric13030059.
Every year, there are over 3300 ingestions of button batteries, mostly by young children. Initial presentation of button battery ingestion may be nonspecific, with a delay in diagnosis and removal resulting in increased risk of complications. We present the case of a five-year-old female who presented with vomiting following unwitnessed button battery ingestion. The battery was impacted in the middle esophagus for at least six hours. Endoscopy was performed for immediate removal and showed a Grade 2B erosion, warranting nasogastric tube placement. The patient remained asymptomatic following discharge and had a barium swallow that was read as normal. However, a repeat endoscopy one month later visualized stricture formation at the previous battery injury site. This case highlights the importance of both clinician and parent awareness of button battery ingestion and demonstrates that endoscopy provides the most accurate assessment of esophageal injury and complication development, even in asymptomatic patients.
每年有超过3300例纽扣电池摄入事件，主要发生在幼儿身上。纽扣电池摄入的初始表现可能不具特异性，诊断和取出延迟会导致并发症风险增加。我们报告一例5岁女性病例，该患者在无人目睹的情况下摄入纽扣电池后出现呕吐症状。电池嵌顿在食管中段至少6小时。立即进行内镜检查以取出电池，检查显示有2B级糜烂，需放置鼻胃管。患者出院后无症状，钡餐检查结果正常。然而，一个月后再次进行内镜检查时，发现先前电池损伤部位形成了狭窄。该病例强调了临床医生和家长对纽扣电池摄入的认识的重要性，并表明即使在无症状患者中，内镜检查也能对食管损伤和并发症发展提供最准确的评估。
