A Deep Esophageal Injury from a Lithium Battery
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The ingestion of disk battery (DB) may cause catastrophic complications, and 44 deaths in children have been reported worldwide so far. Sixty-six percent of them were due to a fistula between esophagus and aorta (AEF) or other major vessels. In order to stop the continuing rise in life-threatening injuries several multi-faceted approaches have been proposed.The severity of injury depends on cell type, size, voltage, location and time of tight contact with the mucosa. The main lesion mechanism is an electrical generation of hydroxide ions at the negative pole causing an alkaline burn proportional to the battery voltage.Here we describe a child with a LB lodged into the esophagus seen in our tertiary pediatric Institute....

http://pediatrics.imedpub.com/a-deep-esophageal-injury-from-a-lithium-battery-a-case-report.php?aid=9190
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