Delayed presentation of button battery ingestion: a devastating complication

SummaryA 12-month-
The old child had a long history of fever, cough, and difficulty breathing, and was initially treated with Mao Zhiyan.
She was discharged from the hospital but again appeared in the accident and emergency department 4 days later and the symptoms deteriorated.
Chest X-after the emergency department gets worse-
Ray found a button battery in the upper part of the esophagus.
An emergency esophageal mirror was performed at the place where the 20mm button battery was taken out and 12mm above the Carina was seen with a trachea-esophageal fistula.
Near-total esophageal resection, cervical esophageal mouth-making and gastric mouth-making were performed by repairing the trachea and then with a bioabsorbent trachea stent.
The patient stayed in the intensive care unit for a long time and received intravenous antibiotics for the treatment of longitudinal inflammation.
This situation highlights the difficulty of diagnosing button batteries without a clear history and the devastating consequences of prolonged exposure.
Footnotescontriators RC reviews clinical cases and writes reports.
Mvhelp evaluates and edits the manuscript.
Rhhelp evaluates and edits manuscripts.
Supervise the work and assist in the evaluation and editing of the manuscript.
No one declared a competitive interest.
Patients who have not been entrusted agree with the Guardian to agree to the source and peer review;
External peer review.