2023 Friday Quiz 14 | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

2023 Friday Quiz 14

AP (image 1) and lateral (image 2) radiograph of the airway showing ingested button battery (button batter) with erosion of the inferior margin. The battery is causing significant edema. This is seen on the lateral view where there is widening of the space between the esophagus and trachea, as well as a narrowing of the anterior trachea (arrowhead).

What are potential complications of button battery ingestion?

The author made an update to this case

Update 1

2023 Friday Quiz 14 Answer has been posted! Go to our profile page to see more images and the diagnosis

More about this case

ResolvedCommon presentationTrending

Why you should join Figure 1

Similar cases

  1. Abdominal x-ray shows an ingested metallic foreign body. Most ingested foreign objects will pass through the gastrointestinal system without complication. Certain objects such as button batteries, multiple magnets, and sharp objects will be retrieved from the stomach in order to help prevent complications. It is important to remember that we are only able to see the metallic portion of object. #TummyTuesday

  2. 4y/o male. Ingestion of Lithium Coin Battery. No lateral view. Tx was upper endoscopy with foreign body removal. Pt did well.

  3. Coronel image from CT angiogram shows metallic residua (arrow) of the button battery. Ingested button batteries are a medical emergency. The battery can conduct a charge across the tissue leading to soft tissue burns. These burns can lead to esophageal injury as well as adjacent vascular injury. An aortoesophageal fistula is the most feared complication as it can lead to rapid exsanguination. Injury may progress after the battery has been removed due to a persistent alkaline environment. CT angiogram can be used to assess the adjacent aorta and other vascular structures to evaluate for a developing pseudoaneurysm. Other potential complications include esophageal stricture or perforation, tracheoesophageal fistula and vocal cord paralysis.

  4. Focused frontal radiograph of the chest (image 1) and abdomen (image 2) show the differences between a button battery (image 1) and alkaline AAA battery (image 2). Button batteries represent an emergency, especially when lodged in the esophagus. The esophageal mucosa and saliva are able to conduct a charge leading to rapid esophageal burns. Button batteries have a characteristic halo lucency which can be used to differentiate the circular metallic object from a coin.

Trending now:

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?