Button battery injury: An update

Aust J Gen Pract. 2022 Jul;51(7):471-475. doi: 10.31128/AJGP-03-21-5873.

Abstract

Background: Paediatric button battery injuries present a challenge in the general practice setting. Although some children present with history or parental suspicion of button battery ingestion (BBI) or insertion, unwitnessed cases may present with non-specific symptoms that can mimic many respiratory and gastrointestinal pathologies.

Objective: The aim of this article is to increase awareness of the fast onset of life-threatening tissue injury from BBI and the importance of timely referral as well as provide an update on current management, including first aid management in the general practice setting.

Discussion: BBI is a medical emergency. The button battery requires urgent removal as it can cause caustic burn injury to its surrounding tissues in as little as 15 minutes. Limited awareness of the time-critical nature of this presentation has been reported in multiple triage settings. Studies have shown a role for consumption of honey or sucralfate in delaying tissue injury while awaiting surgical removal.

MeSH terms

  • Child
  • Electric Power Supplies / adverse effects
  • Foreign Bodies* / complications
  • Foreign Bodies* / diagnosis
  • Foreign Bodies* / therapy
  • Humans
  • Triage