Ingestion of disc-shaped battery, typically by young child
Battery contains: Manganese dioxide, zinc-air, silver-oxide, mercuric-oxide, or lithium
Recent ↑ in lithium use: ↑ damage (due to ↑ efficiency & voltage) → ↑ morbidity & mortality
Esophagus is particularly susceptible to injury by lodged battery with potentially catastrophic consequences
IMAGING
General Features
Radiographic Findings
CT
MR
Esophagram
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
Selected References
Grey NEO et al: Magnetic resonance imaging findings following button battery ingestion. Pediatr Radiol. 51(10):1856-66, 2021
Khalaf RT et al: Gastric injury secondary to button battery ingestions: a retrospective multicenter review. Gastrointest Endosc. 92(2):276-83, 2020
Meyer TJ et al: Systematic analysis of button batteries', euro coins', and disk magnets' radiographic characteristics and the implications for the differential diagnosis of round radiopaque foreign bodies in the esophagus. Int J Pediatr Otorhinolaryngol. 132:109917, 2020
Riedesel EL et al: Serial MRI findings after endoscopic removal of button battery from the esophagus. AJR Am J Roentgenol. 215(5):1238-46, 2020
Pugmire BS et al: Imaging button battery ingestions and insertions in children: a 15-year single-center review. Pediatr Radiol. 47(2):178-85, 2017
Leinwand K et al: Button battery ingestion in children: a paradigm for management of severe pediatric foreign body ingestions. Gastrointest Endosc Clin N Am. 26(1):99-118, 2016
Kramer RE et al: Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 60(4):562-74, 2015
Pugmire BS et al: Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists. Radiographics. 35(5):1528-38, 2015
Jatana KR et al: Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol. 77(9):1392-9, 2013
Litovitz T et al: Emerging battery-ingestion hazard: clinical implications. Pediatrics. 125(6):1168-77, 2010
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
Ingestion of disc-shaped battery, typically by young child
Battery contains: Manganese dioxide, zinc-air, silver-oxide, mercuric-oxide, or lithium
Recent ↑ in lithium use: ↑ damage (due to ↑ efficiency & voltage) → ↑ morbidity & mortality
Esophagus is particularly susceptible to injury by lodged battery with potentially catastrophic consequences
IMAGING
General Features
Radiographic Findings
CT
MR
Esophagram
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
Selected References
Grey NEO et al: Magnetic resonance imaging findings following button battery ingestion. Pediatr Radiol. 51(10):1856-66, 2021
Khalaf RT et al: Gastric injury secondary to button battery ingestions: a retrospective multicenter review. Gastrointest Endosc. 92(2):276-83, 2020
Meyer TJ et al: Systematic analysis of button batteries', euro coins', and disk magnets' radiographic characteristics and the implications for the differential diagnosis of round radiopaque foreign bodies in the esophagus. Int J Pediatr Otorhinolaryngol. 132:109917, 2020
Riedesel EL et al: Serial MRI findings after endoscopic removal of button battery from the esophagus. AJR Am J Roentgenol. 215(5):1238-46, 2020
Pugmire BS et al: Imaging button battery ingestions and insertions in children: a 15-year single-center review. Pediatr Radiol. 47(2):178-85, 2017
Leinwand K et al: Button battery ingestion in children: a paradigm for management of severe pediatric foreign body ingestions. Gastrointest Endosc Clin N Am. 26(1):99-118, 2016
Kramer RE et al: Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 60(4):562-74, 2015
Pugmire BS et al: Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists. Radiographics. 35(5):1528-38, 2015
Jatana KR et al: Pediatric button battery injuries: 2013 task force update. Int J Pediatr Otorhinolaryngol. 77(9):1392-9, 2013
Litovitz T et al: Emerging battery-ingestion hazard: clinical implications. Pediatrics. 125(6):1168-77, 2010
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