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• W2977379105 abstract "Introduction: Battery ingestion is a common form of foreign body ingestion. Compared to button batteries, cylindrical batteries ingestion is much less. Data on the outcomes of these ingestions are limited. Here we report a case of multiple cylindrical batteries ingestion as a mode of deliberate self-harm that resulted in severe gastric ulceration within 12 hours of ingestion, secondary to leakage of alkaline batteries content. Case: 31 years old African American female presented to the ED after she was witnessed intentionally ingesting 7 cylindrical batteries (5 AA & 2 AAA) 2 hours prior to presentation. She has had history of schizophrenia and multiple suicidal attempts. In ED, she denied any gastrointestinal symptoms. Patient was not in any acute distress and vitally stable. There were no signs of acute abdomen. Abdominal film revealed 7 cylindrical batteries in the upper abdomen (Fig 1). The patient underwent EGD. Large amount of food was seen in the fundus and body of stomach. Only 2 batteries were visualized in the stomach within the food and were successfully retrieved using Roth Net (Fig. 2). Rest of the batteries were presumed to be embedded within the food. Despite extensive irrigation and suctioning using a large bore NG tube; food could not be cleared and the other batteries were not visualized. No significant mucosal damage was visualized to the esophageal, gastric or duodenal mucosa down to the third part. Patient was kept nil per os and admitted for observation.Figure 1Figure 2Next morning, patient complained of mild abdominal pain with some tenderness in epigastric area. Repeat abdominal film showed 4 remaining batteries within gastric body and antrum and a fifth one probably in the small bowel (Fig. 3). Patient underwent repeat EGD 12 hours after ingestion. Stomach was clear from food and 3 AA batteries were seen in the body of the stomach with evidence of 3 deep ulcerations (2 in the antrum and 1 on the incisura) and multiple erosions (Fig. 4). Examination of the duodenum showed superficial mucosal erosions and another AA battery was visualized beyond the ligament of Treitz in the proximal jejunum. All the 4 batteries were retrieved successfully using Roth Net. Inspecting the batteries revealed erosions of the seal of the batteries with leakage of chemical contents on the poles (Fig. 5).Figure 3Patient was started on proton pump inhibitor. She passed the seventh battery (AAA) per rectum 3 days later without any complications. She was discharged to an inpatient psychiatric center for further management. Conclusion: Current guidelines recommend removing cylindrical batteries if they remain in the stomach for longer than 48 hours. Our case clearly shows that serious and deep ulcerations can result from those batteries early after ingestion, which argues for our proposal of early removal of those batteries." @default.
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• W2977379105 date "2015-10-01" @default.
• W2977379105 modified "2023-09-27" @default.
• W2977379105 title "Cylindrical Battery in the Stomach for Less Than 12 Hours: Should It Be Removed?" @default.
• W2977379105 doi "https://doi.org/10.14309/00000434-201510001-00445" @default.
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