The hazard of ingested alkaline disk batteries in children
T. P. Votteler, J. C. Nash and J. C. Rutledge
We have treated eight cases of childhood ingestion of alkaline disk
batteries, one resulting in an esophagotracheal fistula. These batteries
are capable of rapid tissue destruction on contact with moist membranes. We
recommend that packaging include proper warning of this hazard and urge
that retained batteries be promptly removed from the esophagus and stomach
by endoscopy or laparotomy. If the battery has reached the small intestine,
further transit should be monitored carefully by roentgenographic studies
until recovery. Perforation is possible after eight-hour retention at a
specific site.
