Subscribe to RSS
Battery Ingestion with Colonic Perforation after Colostomy Closure in a Toddler
Disc and button battery ingestion in children is common. In fact, data reports a dramatic increase in battery ingestion during the coronavirus disease 2019 pandemic likely as a result of increased household population density and electronic product utilization. These batteries often remain lodged in the esophagus causing potentially devastating complications if they are not removed urgently. Batteries that are passed beyond the esophagus usually do not cause any complications. We present the case of a 15-month-old male who underwent a colostomy takedown 2 months following a posterior sagittal anorectoplasty for imperforate anus. He recovered quickly, was advanced on his diet, and was discharged to home on postoperative day 3. On postoperative day 5 following the stoma closure, he presented with an acute abdomen, pneumoperitoneum and an abdominal X-ray that revealed a 21 mm disc battery in the left lower quadrant. He underwent exploration and the battery was found perforating the anastomosis. There was significant fibropurulent exudate and inflammation. The battery was removed, the anastomosis was excised, and a colostomy with Hartman's pouch was performed. The toddler recovered uneventfully.
This case offers an opportunity to discuss the concerns of battery ingestion and postoperative care following intestinal surgery in children. We could find no other similar reports in the world's literature of a disrupted colonic anastomosis due to battery ingestion.
Received: 22 September 2020
Accepted: 18 January 2021
Article published online:
10 March 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
- 1 Semple T, Calder AD, Ramaswamy M, McHugh K. Button battery ingestion in children-a potentially catastrophic event of which all radiologists must be aware. Br J Radiol 2018; 91 (1081): 20160781
- 2 Di Renzo L, Gualtieri P, Pivari F. et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med 2020; 18 (01) 229 DOI: 10.1186/s12967-020-02399-5.
- 3 Pizzol A, Rigazio C, Calvo PL. et al. Foreign-body Ingestions in Children During COVID-19 Pandemic in a Pediatric Referral Center. JPGN Rep 2020; 1 (02) e018 DOI: 10.1097/PG9.0000000000000018.
- 4 Litovitz T, Whitaker N, Clark L. Preventing battery ingestions: an analysis of 8648 cases. Pediatrics 2010; 125 (06) 1178-1183
- 5 Krom H, Visser M, Hulst JM. et al. Serious complications after button battery ingestion in children. Eur J Pediatr 2018; 177 (07) 1063-1070
- 6 Thabet MH, Basha WM, Askar S. Button battery foreign bodies in children: hazards, management, and recommendations. BioMed Res Int 2013; 2013: 846091 DOI: 10.1155/2013/846091.
- 7 National Capital Poison Center.. 2014 National Capital Poison Center. Accessed September 16, 2020 at: www.poison.org/battery/stats.asp
- 8 Laulicht B, Traverso G, Deshpande V, Langer R, Karp JM. Simple battery armor to protect against gastrointestinal injury from accidental ingestion. Proc Natl Acad Sci U S A 2014; 111 (46) 16490-16495
- 9 Bram JT, Johnson MA, Magee LC. et al. Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic. J Pediatr Orthop 2020; 40 (08) 373-379
- 10 Arana A, Hauser B, Hachimi-Idrissi S, Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr 2001; 160 (08) 468-472
- 11 Hamilton JM, Schraff SA, Notrica DM. Severe injuries from coin cell battery ingestions: 2 case reports. J Pediatr Surg 2009; 44 (03) 644-647
- 12 Karaman A, Karaman I, Erdoğan D. et al. Perforation of Meckel's diverticulum by a button battery: report of a case. Surg Today 2007; 37 (12) 1115-1116
- 13 Ozokutan BH, Ceylan H, Yapıcı S, Sımsık S. Perforation of Meckel's diverticulum by a button battery: report of two cases. Ulus Travma Acil Cerrahi Derg 2012; 18 (04) 358-360
- 14 Peña A, Levitt MA. Colonic inertia disorders in pediatrics. Curr Probl Surg 2002; 39 (07) 666-730
- 15 Paul SP, Hawes D, Taylor TM. Foreign body ingestion in children: case series, review of the literature and guidelines on minimising accidental ingestions. J Fam Health Care 2010; 20 (06) 200-204
- 16 Pomicino L, Maccacari E, Buchini S. Levels of anxiety in parents in the 24 hr before and after their child's surgery: a descriptive study. J Clin Nurs 2018; 27 (1-2): 278-287
- 17 Ben Ari A, Margalit D, Udassin R, Benarroch F. Traumatic stress among school-aged pediatric surgery patients and their parents. Eur J Pediatr Surg 2019; 29 (05) 437-442