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Case of the Week 476


What is the most reasonable treatment?

  • 37 year-old asymptomatic female with a psychiatric history ingested foreign bodies. Which is the most reasonable treatment?



Supine radiograph of the abdomen

  1. Immediate surgery
  2. Endoscopic removal
  3. Follow-up in several days
  4. Administer emetics
  5. Administer Diazepam

Additional Images -Supine radiograph of the abdomen

 

Additional Images

 

Supine radiograph of the abdomen 2 days later


Answer:

 

3. Follow-up in several days (see additional image 2 days later)

 

More (Click Discussion Tab)

 

 

Battery Ingestion

General Considerations

  • Battery ingestion primarily involves disk or button batteries ingested by children
  • Lithium button batteries of 20 mm pose a particular hazard in the esophagus where the current generated by the negative (narrower) side may cause damage within hours after ingestion so that expedited removal is best for this size and type of battery
  • Alkaline batteries, those most commonly used in flashlights, tend to produce their adverse effects through release of caustic chemicals

MORE . . .

 


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This Week

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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.