Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention

Introduction. Button battery ingestion is considered an emergency situation in pediatric patients that needs to be managed promptly; otherwise, it may lead to serious and potentially lethal complications, especially when it is impacted in the esophagus. Less attention has been given in cases where t...

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Main Authors: Ioannis Patoulias, Christos Kaselas, Dimitrios Patoulias, Konstantinos Farmakis, Eleni Papacrivou, Maria Kalogirou, Thomas Feidantsis
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/3965393
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author Ioannis Patoulias
Christos Kaselas
Dimitrios Patoulias
Konstantinos Farmakis
Eleni Papacrivou
Maria Kalogirou
Thomas Feidantsis
author_facet Ioannis Patoulias
Christos Kaselas
Dimitrios Patoulias
Konstantinos Farmakis
Eleni Papacrivou
Maria Kalogirou
Thomas Feidantsis
author_sort Ioannis Patoulias
collection DOAJ
description Introduction. Button battery ingestion is considered an emergency situation in pediatric patients that needs to be managed promptly; otherwise, it may lead to serious and potentially lethal complications, especially when it is impacted in the esophagus. Less attention has been given in cases where the battery passes into the stomach, with guidelines for emergency intervention being based on the presence of symptoms. Case Report. We present a case of an 18-month-old male patient who presented to our emergency department after button battery ingestion. He did not have any symptoms and no pathological findings were encountered during clinical examination. X-ray investigation revealed the presence of the battery in the stomach. The patient was admitted for observation and two hours later he had two episodes of vomiting. He underwent urgent endoscopic removal of the battery where multiple acute gastric mucosal erosion in place of direct contact of the battery’s negative pole with the mucosa of the gastric antrum was found. Conclusion. In specific cases the urgent endoscopic intervention for removal of an ingested button battery that is located in the stomach even in asymptomatic patients should be suggested.
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id doaj-art-e29dbf4cbbb44e1b856215a5ae1fedb3
institution Kabale University
issn 2090-6803
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Pediatrics
spelling doaj-art-e29dbf4cbbb44e1b856215a5ae1fedb32025-02-03T01:12:31ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/39653933965393Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of InterventionIoannis Patoulias0Christos Kaselas1Dimitrios Patoulias2Konstantinos Farmakis3Eleni Papacrivou4Maria Kalogirou5Thomas Feidantsis61st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, Greece1st Pediatric Surgery Clinic, Aristotle University of Thessaloniki, G. H. G. Gennimatas, 41 Ethnikis Aminis Street, 54635 Thessaloniki, GreeceIntroduction. Button battery ingestion is considered an emergency situation in pediatric patients that needs to be managed promptly; otherwise, it may lead to serious and potentially lethal complications, especially when it is impacted in the esophagus. Less attention has been given in cases where the battery passes into the stomach, with guidelines for emergency intervention being based on the presence of symptoms. Case Report. We present a case of an 18-month-old male patient who presented to our emergency department after button battery ingestion. He did not have any symptoms and no pathological findings were encountered during clinical examination. X-ray investigation revealed the presence of the battery in the stomach. The patient was admitted for observation and two hours later he had two episodes of vomiting. He underwent urgent endoscopic removal of the battery where multiple acute gastric mucosal erosion in place of direct contact of the battery’s negative pole with the mucosa of the gastric antrum was found. Conclusion. In specific cases the urgent endoscopic intervention for removal of an ingested button battery that is located in the stomach even in asymptomatic patients should be suggested.http://dx.doi.org/10.1155/2016/3965393
spellingShingle Ioannis Patoulias
Christos Kaselas
Dimitrios Patoulias
Konstantinos Farmakis
Eleni Papacrivou
Maria Kalogirou
Thomas Feidantsis
Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
Case Reports in Pediatrics
title Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
title_full Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
title_fullStr Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
title_full_unstemmed Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
title_short Multiple Gastric Erosion Early after a 3 V Lithium Battery (CR2025) Ingestion in an 18-Month-Old Male Patient: Consideration about the Proper Time of Intervention
title_sort multiple gastric erosion early after a 3 v lithium battery cr2025 ingestion in an 18 month old male patient consideration about the proper time of intervention
url http://dx.doi.org/10.1155/2016/3965393
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