Ebrahimi Pouya, Nazari Roozbeh, Mousavinezhad Seyedeh Maryam, Senobari Nahid, Ghadimi Delaram J
Tehran Heart Center, Cardiovascular Disease Research Institute Tehran University of Medical Sciences Tehran Iran.
Department of Cardiology Modarres Hospital, Shahid Beheshti University of Medical Sciences Tehran Iran.
Clin Case Rep. 2024 Aug 6;12(8):e9275. doi: 10.1002/ccr3.9275. eCollection 2024 Aug.
It is important to note that prevention of button battery ingestion is the most effective way to reduce its incidence and complications. This is unachievable without providing educational plans for parents. Moreover, triage nurses and first-line staff who take the history of patients and physicians should take the history to evaluate the risk of battery ingestion. Plain radiographs can be helpful in this matter, as the presence of "Hallow" and "Steep" signs in the anteroposterior and lateral views, respectively, can help.
Foreign body ingestion is a relatively common occurrence in pediatrics, especially among children 1-3 years of age. Although most cases are benign and managed conservatively, those with high-risk subjects such as button batterie can bring about fatal conditions in the minority of cases. In the present study, the history, diagnostic, and therapeutic procedures of a 13-month-old baby with the final diagnosis of button battery ingestion are presented. The parents ignored the symptoms, suspecting that it was a viral infection. The evaluations showed that a battery was lodged in the middle part of the thoracic esophagus, which was removed by an urgent endoscopic procedure. The patient was under observation and on a nothing-by-mouth diet for a week, receiving nutritional fluid with a nasogastric tube. The necrosis, which was obvious after the removal of the battery, was healing in the second control esophagogastroduodenoscopy performed 1 week after the procedure. The stricture was minimal, and no need for dilation was diagnosed. This case report underscores the importance of a timely diagnosis and removal of these cases. This case underscores the importance of the timely presentation of these cases to health care and the risk of delayed removal, such as necrosis, forming fistula, and perforation of the esophagus. The delay can cause necrosis, fistula, and perforation and might lead to irreversible severe complications and even death.
需要注意的是，预防纽扣电池误吞是降低其发生率和并发症的最有效方法。如果不向家长提供教育计划，这是无法实现的。此外，负责询问患者病史的分诊护士和一线工作人员以及医生，都应询问病史以评估误吞电池的风险。在这方面，普通X线片可能会有所帮助，因为正位和侧位片上分别出现的“空洞”和“陡峭”征有助于诊断。
异物误吞在儿科较为常见，尤其是1至3岁的儿童。虽然大多数病例是良性的，可采用保守治疗，但对于纽扣电池等高危异物，少数情况下可能导致致命状况。在本研究中，报告了一名最终诊断为纽扣电池误吞的13个月大婴儿的病史、诊断及治疗过程。家长忽视了症状，怀疑是病毒感染。评估显示一枚电池嵌顿在胸段食管中部，通过紧急内镜手术取出。患者接受了一周的观察和禁食，通过鼻胃管接受营养液。取出电池后明显的坏死在术后1周进行的第二次食管胃十二指肠镜检查时正在愈合。狭窄程度轻微，无需进行扩张治疗。本病例报告强调了及时诊断和处理这些病例的重要性。该病例强调了及时向医疗保健机构报告这些病例的重要性以及延迟取出的风险，如坏死、形成瘘管和食管穿孔。延迟可能导致坏死、瘘管和穿孔，并可能导致不可逆转的严重并发症甚至死亡。
