Ingested button battery

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Suspected ingestion of a button battery within the last hour. Asymptomatic.

Patient Data

Age: 5 years
Gender: Male
x-ray

Standing radiographs show a metal density focus in the mid-anterior abdomen region. The foreign body shows a double-ring sign and a step-off sign. No free gas under the domes of the diaphragm. No abnormal bowel gas pattern. The third is a lateral image which is cropped, and magnified with contrast-brightness edits.

ultrasound

The stomach shows a mobile echogenic focus with a reverberation artifact. The size and shape correspond to the foreign body detected on the xray.

Case Discussion

The case shows an ingested button battery in the stomach.

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