Unwitnessed lithium ion disc battery ingestion: case report and review of best practice management of an increasing clinical concern

作者：Dawe N^*; Puvanendran M; Flood L

来源：Journal of Laryngology and Otology, 2013, 127(1): 84-87.

DOI：10.1017/S0022215112002617

• Foreign Body
• Esophageal Perforation
• Electric Injuries

Objective: To describe a case of unwitnessed lithium ion disc battery ingestion, with a review of radiology findings and current best practice management. %26lt;br%26gt;Case report: A three-year-old girl presented following ingestion of a foreign body, which her four-year-old brother claimed was a one pound coin. The patient was managed non-urgently and transferred for specialist ENT assessment 6 hours following the initial ingestion, with no evidence of airway compromise. A corroded battery was removed from the level of the cricopharyngeus after 8 hours, with an associated circumferential mucosal burn. %26lt;br%26gt;Conclusion: There is increasing concern regarding the acknowledged rising incidence of lithium ion disc battery ingestion. The lack of a high index of suspicion and the inability to recognise subtleties on imaging may lead to suboptimal management with a higher degree of unnecessary immediate and delayed morbidity. The recently published American Academy of Pediatrics Guidelines may guide the approach to managing battery ingestions.

• 出版日期2013-1