Ingested button battery

Case contributed by Catherine Ann McNulty
Diagnosis certain

Presentation

The previously healthy patient presented with generalised abdominal pain after swallowing a button battery roughly 24 hours prior to presentation.

Patient Data

Age: 2 years
Gender: Male
x-ray

A rounded metallic density measuring 22 x 6 mm in size with beveled edges (fig # 1 and 2) and a halo sign (fig # 3) is seen in the region of the gastric pylorus and is concerning for impaction given over 24 hours of ingestion at presentation. No additional discrete radiopaque foreign body is evident. No discrete mass or organomegaly. Bowel gas is noted throughout the abdomen and pelvis. No evidence of bowel obstruction or free air. Visualised lung bases are clear. No acute osseous abnormalities. 

Case Discussion

The button battery was subsequently removed successfully by a paediatric gastroenterologist via OGD. 

This case was submitted with supervision and input from:

Soni C Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Centre

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