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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e41-e44
DOI: 10.1055/s-0041-1741558
Case Report

Battery Ingestion with Colonic Perforation after Colostomy Closure in a Toddler

Annamarie C. Lukish
1   Division of Colorectal and Pelvic Reconstructive Surgery, Children's National Medical Center, Washington, District of Columbia, United States
,
Vivien Pat
1   Division of Colorectal and Pelvic Reconstructive Surgery, Children's National Medical Center, Washington, District of Columbia, United States
2   Division of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
,
Anisha Apte
3   Division of General Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
,
Marc A. Levitt
1   Division of Colorectal and Pelvic Reconstructive Surgery, Children's National Medical Center, Washington, District of Columbia, United States
4   Division of Pediatric Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, United States
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Abstract

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.

Keywords

disc battery ingestion - colonic foreign body - colonic perforation - COVID-19


Publikationsverlauf

Eingereicht: 22. September 2020

Angenommen: 18. Januar 2021

Artikel online veröffentlicht:
10. März 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
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  • References

  • 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
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 4 Litovitz T, Whitaker N, Clark L. Preventing battery ingestions: an analysis of 8648 cases. Pediatrics 2010; 125 (06) 1178-1183
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 7 National Capital Poison Center.. 2014 National Capital Poison Center. Accessed September 16, 2020 at: www.poison.org/battery/stats.asp
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 14 Peña A, Levitt MA. Colonic inertia disorders in pediatrics. Curr Probl Surg 2002; 39 (07) 666-730
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Artikel in Thieme ConnectPubMedGoogle Scholar