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Battery ingestion: an unusual cause of mediastinitis.

Rodrigues RS, Figueiredo FA, Amorim CA, Zanetti G, Marchiori E - J Bras Pneumol (2014)

View Article: PubMed Central - PubMed

Affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

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Theidentification of a circular radiopaque shadow with a peripheral double rim or a haloeffect on an anteroposterior (AP) X-ray (Figure1A) and a step-off on the lateral view (Figure1B) allowed the diagnosis of button battery (BB) ingestion... Esophagoscopy showed a corroded 20-mm-diameter lithium BB lodged in the esophagus, withcorrosive injury of the mucosa... The foreign body was retrieved 80 h after the ingestion.CT scans showed foci of material with high density posterior to the trachea (remains ofthe foreign body) and signs of esophageal perforation and mediastinitis (Figure 2)... A BB lodged in the esophagus can cause severe tissue damage and delayed complications,such as esophageal perforation, tracheoesophageal fistulas, mediastinitis, anddeath... Misdiagnoses frequently occur when ingested batteries are misidentified onX-rays as other objects, particularly coins... However, subtle differences exist in theradiographic features of BBs and coins... A halo of reduced density is present around thecircumference of a BB (double rim or halo effect) on an AP X-ray, and a step-off can beobserved on the lateral view... A battery lodged in the esophagus must be treated as a medical emergency because of itsrapid corrosive action; a BB may cause serious burns in just two hours... Patients with a battery in the esophagus may be asymptomatic initially.Endoscopic removal is preferred because it allows direct visualization of tissueinjury.

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Em A, radiografia de tórax em incidência anteroposterior revelando umasombra radiopaca circular com dupla borda periférica ou efeito auréola, e,em B, radiografia em perfil mostrando uma sombra em declive, o que permitiuo diagnóstico de bateria botão alojada no esôfago.
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f03: Em A, radiografia de tórax em incidência anteroposterior revelando umasombra radiopaca circular com dupla borda periférica ou efeito auréola, e,em B, radiografia em perfil mostrando uma sombra em declive, o que permitiuo diagnóstico de bateria botão alojada no esôfago.

Mentions: Radiografias de tórax demonstraram a presença de um objeto redondo e opaco alojado noesôfago superior. A identificação de uma sombra radiopaca circular com dupla bordaperiférica ou efeito auréola na radiografia em incidência anteroposterior (AP; Figura 1A) e de uma sombra em declive naradiografia em perfil (Figura 1B) permitiu odiagnóstico de ingestão de bateria botão (BB).


Battery ingestion: an unusual cause of mediastinitis.

Rodrigues RS, Figueiredo FA, Amorim CA, Zanetti G, Marchiori E - J Bras Pneumol (2014)

Em A, radiografia de tórax em incidência anteroposterior revelando umasombra radiopaca circular com dupla borda periférica ou efeito auréola, e,em B, radiografia em perfil mostrando uma sombra em declive, o que permitiuo diagnóstico de bateria botão alojada no esôfago.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263341&req=5

f03: Em A, radiografia de tórax em incidência anteroposterior revelando umasombra radiopaca circular com dupla borda periférica ou efeito auréola, e,em B, radiografia em perfil mostrando uma sombra em declive, o que permitiuo diagnóstico de bateria botão alojada no esôfago.
Mentions: Radiografias de tórax demonstraram a presença de um objeto redondo e opaco alojado noesôfago superior. A identificação de uma sombra radiopaca circular com dupla bordaperiférica ou efeito auréola na radiografia em incidência anteroposterior (AP; Figura 1A) e de uma sombra em declive naradiografia em perfil (Figura 1B) permitiu odiagnóstico de ingestão de bateria botão (BB).

View Article: PubMed Central - PubMed

Affiliation: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Theidentification of a circular radiopaque shadow with a peripheral double rim or a haloeffect on an anteroposterior (AP) X-ray (Figure1A) and a step-off on the lateral view (Figure1B) allowed the diagnosis of button battery (BB) ingestion... Esophagoscopy showed a corroded 20-mm-diameter lithium BB lodged in the esophagus, withcorrosive injury of the mucosa... The foreign body was retrieved 80 h after the ingestion.CT scans showed foci of material with high density posterior to the trachea (remains ofthe foreign body) and signs of esophageal perforation and mediastinitis (Figure 2)... A BB lodged in the esophagus can cause severe tissue damage and delayed complications,such as esophageal perforation, tracheoesophageal fistulas, mediastinitis, anddeath... Misdiagnoses frequently occur when ingested batteries are misidentified onX-rays as other objects, particularly coins... However, subtle differences exist in theradiographic features of BBs and coins... A halo of reduced density is present around thecircumference of a BB (double rim or halo effect) on an AP X-ray, and a step-off can beobserved on the lateral view... A battery lodged in the esophagus must be treated as a medical emergency because of itsrapid corrosive action; a BB may cause serious burns in just two hours... Patients with a battery in the esophagus may be asymptomatic initially.Endoscopic removal is preferred because it allows direct visualization of tissueinjury.

Show MeSH