Aa battery12/24/2023 ![]() A radiograph was done to assess placement and incidentally demonstrated a new left upper lobe opacification. A nasogastric (NG) tube was placed endoscopically. There was an area above the lower esophageal sphincter with a dark appearance indicative of recent bleeding or necrotic tissue, consistent with grade IIb–III injury (Fig. Per established clinical guidelines, pediatric gastroenterology recommended a proton-pump inhibitor and inpatient admission for esophagogastroduodenoscopy (EGD) within 24 hours ( 2, 4).Ībdominal radiograph approximately 7 hours after ingestion demonstrating hyperdense material in the ascending colon.Īpproximately 14 hours after the ingestion, EGD showed extensive ulceration and adherent fibrin in the lower esophagus. The local Poison Control Center was contacted for the first time at our hospital and provided their caustic ingestion protocol and contact information for the National Battery Ingestion Hotline, with whom a case was filed. Repeat abdominal and chest radiographs showed dense material over the cecum and ascending colon (Fig. She had mild erythema overlying her left cheek just below her eye without conjunctival injection or periorbital swelling. White fibrinous debris was seen over the hard palate and dorsal surface of the tongue without posterior oropharyngeal lesions. On arrival to our tertiary-care pediatric hospital thereafter, she was refusing to swallow her oral secretions. ![]() Upon initial evaluation, radiograph of the chest and abdomen showed hyperdense material in the small intestine (Fig. Representative cylindrical AA battery with negative electrode removed and visible internal contents. ![]()
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