Tension pneumothorax and subcutaneous emphysema during retrieval of an ingested lithium button battery.
We present a case of a child with an ingested lithium battery causing esophageal perforation with mediastinal injury extending to the pleural cavity. During the endoscopic retrieval of the battery, the child developed the rare complication of subcutaneous emphysema, tension pneumothorax, and pneumomediastinum from excessive iatrogenic air insufflation. The patient developed mediastinitis and had a complicated postoperative course.
Parray
Tariq
T
Division of Pediatric Anesthesia and Pain Medicine, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 1 Children's Way, Slot 203, Little Rock, AR 72202-3591, USA. parraytariq@uams.edu
Siddiqui
Saif M
SM
Hughes
Melissa
M
Shah
Shailesh
S
D000768:Anesthesia, General; D002675:Child, Preschool; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007327:Insufflation; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D008482:Mediastinum / Q000293:injuries; D009092:Mucous Membrane / Q000293:injuries / Q000473:pathology; D010994:Pleura / Q000293:injuries; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D013902:Radiography, Thoracic; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*