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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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TC mostrando alargamento do mediastino superior com áreas de baixaatenuação em torno da traqueia e das artérias supra-aórticas e veias, bemcomo gás extraluminal e fragmentos metálicos (restos de corpo estranho),sugestivos de perfuração esofágica e mediastinite.
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f04: TC mostrando alargamento do mediastino superior com áreas de baixaatenuação em torno da traqueia e das artérias supra-aórticas e veias, bemcomo gás extraluminal e fragmentos metálicos (restos de corpo estranho),sugestivos de perfuração esofágica e mediastinite.

Mentions: A esofagoscopia mostrou a presença de uma BB de lítio corroída de 20 mm de diâmetroalojada no esôfago, com lesão corrosiva da mucosa. O corpo estranho foi removido 80 hapós a ingestão. A TC mostrou focos de material com alta densidade localizadosposteriormente à traqueia (restos de corpo estranho) e sinais de perfuração esofágicae mediastinite (Figura 2).


Battery ingestion: an unusual cause of mediastinitis.

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

TC mostrando alargamento do mediastino superior com áreas de baixaatenuação em torno da traqueia e das artérias supra-aórticas e veias, bemcomo gás extraluminal e fragmentos metálicos (restos de corpo estranho),sugestivos de perfuração esofágica e mediastinite.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f04: TC mostrando alargamento do mediastino superior com áreas de baixaatenuação em torno da traqueia e das artérias supra-aórticas e veias, bemcomo gás extraluminal e fragmentos metálicos (restos de corpo estranho),sugestivos de perfuração esofágica e mediastinite.
Mentions: A esofagoscopia mostrou a presença de uma BB de lítio corroída de 20 mm de diâmetroalojada no esôfago, com lesão corrosiva da mucosa. O corpo estranho foi removido 80 hapós a ingestão. A TC mostrou focos de material com alta densidade localizadosposteriormente à traqueia (restos de corpo estranho) e sinais de perfuração esofágicae mediastinite (Figura 2).

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