title: Vascular ring complicates accidental button battery ingestion.
abstract: Button battery ingestion can lead to dangerous complications, including vasculoesophageal fistula formation. The presence of a vascular ring may complicate battery ingestion if the battery lodges at the level of the ring and its important vascular structures. We report a 4-year-old boy with trisomy 21 who was diagnosed with a vascular ring at the time of button battery ingestion and died 9 days after presentation due to massive upper gastrointestinal bleeding from esophageal erosion and vasculoesophageal fistula formation.
authors: Department of Radiology/Medical Imaging, Nemours Children's Hospital, Orlando; University of Central Florida, College of Medicine.
authors: Ronald W
authors: RW
authors: Mercer
authors: The Heart Center, Arnold Palmer Hospital for Children.
authors: Matthew C
authors: MC
authors: Schwartz
authors: District 9 Medical Examiner's Office, Orlando.
authors: Joshua
authors: J
authors: Stephany
authors: Department of Radiology/Medical Imaging, Nemours Children's Hospital, Orlando.
authors: Lane F
authors: LF
authors: Donnelly
authors: Division of Gastroenterology, Hepatology and Nutrition, Nemours Children's Hospital, Orlando.
authors: James P
authors: JP
authors: Franciosi
authors: Department of Radiology/Medical Imaging, Nemours Children's Hospital, Orlando. Electronic address: monica.epelman@nemours.org.
authors: Monica
authors: M
authors: Epelman
mesh_terms: D002675:Child, Preschool; D011211:Electric Power Supplies; D004935:Esophageal Diseases / Q000150:complications / Q000209:etiology*; D004937:Esophageal Fistula / Q000150:complications / Q000209:etiology*; D004947:Esophagus / Q000098:blood supply*; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D014456:Ulcer / Q000150:complications / Q000209:etiology*
keywords: Button battery; CTA; Fatal outcome; Vascular ring; Vasculoesophageal fistula