Abstract
Button battery ingestion accidents have been reported in multiple previous reports. However, ingestion of cylindrical-type batteries is significant less described in the literature. Cylindrical batteries can reportedly cause corrosive damage to the gastrointestinal mucosa after long-term retention, leading to ulceration and perforation. Here, we present a case of endoscopic removal of eight AA batteries that had been ingested and caused corrosive changes in the gastrointestinal mucosa. A 45-year-old man with mental retardation was brought to our hospital due to the suspicion of cylindrical battery ingestion. A plain abdominal x-ray revealed a total of eight cylindrical batteries. Esophagogastroduodenoscopy was performed approximately 24 hours after ingestion, and four AA batteries were removed using a polypectomy snare. The remaining four batteries were followed up and removed under colonoscopy after confirming that they had reached the rectum. Leaked components of retained cylindrical batteries can cause chemical mucosal damage in the gastrointestinal tract. Therefore, early extraction should be considered in case of cylindrical battery ingestion. On the other hand, when the cylindrical battery has passed the pyloric ring, conservative management with close monitoring is acceptable if there are no clinical symptoms. Additionally, a polypectomy snare is useful in the extraction of ingested cylindrical batteries.
Highlights
Button battery ingestion accidents have been reported in multiple previous reports
Current guidelines recommend waiting 48 hours after ingestion to remove cylindrical batteries, a recent report has suggested that cylindrical batteries should be removed urgently [2], because they can cause corrosive and toxic damage to the mucosa if they remain in the gastrointestinal tract for a long time, due to leakage of their contents [1]
We report a case of endoscopic removal of eight AA batteries that were ingested and caused corrosive changes in the gastrointestinal mucosa, four from the stomach under esophagogastroduodenoscopy (EGD), and the remaining four that had passed beyond the pyloric ring were removed from the rectum under colonoscopy after follow-up, using a snare in both procedures
Summary
Button battery ingestion accidents have been reported in multiple previous reports. ingestion of cylindrical-type batteries has been significantly less often described in the current literature [1]. We report a case of endoscopic removal of eight AA batteries that were ingested and caused corrosive changes in the gastrointestinal mucosa, four from the stomach under esophagogastroduodenoscopy (EGD), and the remaining four that had passed beyond the pyloric ring were removed from the rectum under colonoscopy after follow-up, using a snare in both procedures. A 45-year-old man with mental retardation was brought to our emergency department from a psychiatric facility due to the suspicion that he had ingested cylindrical batteries since all the cylindrical batteries in his room were missing He had undergone colonoscopy at another hospital one week prior to the current presentation for further examination of positive fecal occult blood, at which time two AAA batteries had been removed. Plain abdominal x-ray 10 days after discharge showed no remaining batteries in his gastrointestinal tract
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