school
Macau Periodical Index (澳門期刊論文索引)
- Author
- Choi, Wai I；Kwok, Chi Shing
- Title
- A case of button battery in the esophagus in children
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2024年1月31日, 第11卷第1期, pp. 91-95
- Link
- https://www.am.gov.mo/cn/journal/file/v11_1.pdf
- Keyword
- Children；Foreign body of the esophagus；A button battery
- Abstract
- Esophageal foreign body is one of the common causes of children emergencies. Diagnosis of esophageal foreign body in children is often delayed due to the lack of description of medical history, resulting serious consequences. This is a case of a little girl who attended emergency department because of difficulty in swallowing for one day and fever for 4 hours. Chest X-ray confirmed that there was a round high-density shadow in the 5th to 7th cervical vertebra, diagnosed as esophageal foreign body. She was arranged emergency surgery. At operation, a battery button in the first stenosis area of the esophagus was removed, and her esophageal mucosa was found to be corroded with chemical burns. Postoperatively, she was inserted an NGT for feeding and was given anti-infective and Nonsteroidal Anti-inflammatory medicine. MRI examination before extubation of NGT Showed irregular abnormal shadows on both sides of the upper esophageal segment, considered to be delayed esophageal perforation, but no infections were noted in the esophageal space. With prolongation of treatment time to promote the repair of perforation, the girl was able to eat normally after one month without dysphagia. She was subsequently followed up for 2 years, and was found to have recovered well with no sequelae. This case suggests that it is necessary to strengthen the health education of parents, so as to protect or prevent children from contacting items that are easy to swallow. Clinicians should also need to be vigilant in order to detect esophageal foreign early and treat immediately. Button battery foreign bodies in the esophagus, in addition to causing mechanical obstruction, may result in chemical corrosion injury which is an important cause of complications. Therefore, sufficient time is needed for treatment of such foreign bodies to reduce possible complications. Paragraph Headings： 1. Introduction 2. Clinical information 3. Discussion 4. References Figures： 1.X-ray , "double ring sign" 2.Foreign body in the esophagus (button battery, piece of paper) 3. MRI of the neck with free gas nearby esophagus(white arrow indicates free gas para-esophageal free gas)