![]() 2īutton batteries are more likely to be swallowed either by accident or by a curious child. In a 7-year study from the National Capital Poison Center in Washington, DC, individuals swallowing button batteries greatly outnumbered those ingesting cylindrical batteries (2,320 vs 62). However, the majority of the literature concerning battery ingestion deals with button batteries rather than with cylindrical batteries. Ingestion of batteries has been well documented in the medical literature and at poison control centers for decades. His hospital course was otherwise unremarkable, and he was discharged back to the correctional facility. The patient defecated the battery on hospital day 7. He was administered a 10-ounce bottle of magnesium citrate and started on 17 g daily of polyethylene glycol 3350 on hospital day 4, resulting in regular bowel movements the following day. Daily abdominal x-rays ( Figure 2) demonstrated the battery progressing from the proximal colon to the descending colon. Meanwhile, the patient's psychiatric medications were adjusted, and he was started on a regular diet that he tolerated well. Repeat abdominal x-rays revealed the second battery in the distal ileum or proximal colon ( Figure 1C). The pediatric colonoscope was advanced deep into the jejunum, at least 80 cm from the ligament of Treitz, without success in locating the second battery. After retrieval of the first battery, a second examination with a pediatric colonoscope was conducted. The first battery was captured with a snare and retrieved through the overtube. ![]() The second battery was not seen on endoscopic examination up to the third portion of the duodenum, and no mucosal damage was apparent. A cylindrical structure superimposing the mid lower abdomen represents the remaining ingested battery (hospitalization day 1, after EGD).Īpproximately 2 hours after the patient's presentation, upper GI endoscopy revealed one AA battery in the gastric fundus ( Figure 1B). Endoscopic image in retroflexion reveals an ingested battery in the gastric fundus. This supine anteroposterior view of the abdomen shows 2 cylindrical structures superimposing the right upper quadrant, likely in the gastric antrum (hospitalization day 1, prior to esophagogastroduodenoscopy ). Cases with concerning clinical symptoms or a history of damage to the battery casing warrant endoscopic or surgical intervention.Ī. The second battery passed spontaneously via the rectum after administration of laxatives and supportive care.Ĭonclusion: Our case and review of the literature demonstrate that nonsurgical, conservative management with close clinical monitoring is possible in a hospital setting after cylindrical battery ingestion. One battery was retrieved endoscopically, but the second passed into the distal small bowel beyond endoscopic means of retrieval. As such, no clear practice guidelines have been developed for the management of cylindrical battery ingestion.Ĭase Report: We present a case of an incarcerated adult who ingested 2 AA batteries. ![]() Larger cylindrical battery ingestion is less common, with fewer cases reported. Consequently, formal recommendations regarding the management of this battery type have been developed. Background: Battery ingestion, particularly in the pediatric population, has become more common since the development of button batteries.
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