title: Spondylodiscitis associated with button battery ingestion: prompt evaluation with MRI.
abstract: Spondylodiscitis is a rare complication of unwitnessed button battery ingestion in children. We report a case of a 20-month-old girl who presented to the emergency room 2 weeks after endoscopic removal of unwitnessed, impacted esophageal battery. Delayed presentation of spondylodiscitis after foreign body removal is related to local injury, pressure necrosis, and perforation. The bilaminar shape of an unknown ingested foreign body should alert the treating physician that it might be a battery rather than a coin. Prompt evaluation with magnetic resonance imaging is essential to prevent neurological deficit and/or spinal deformities.
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Allen
authors.initials: A
authors.lastname: Young
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Aylin
authors.initials: A
authors.lastname: Tekes
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Thierry A G M
authors.initials: TA
authors.lastname: Huisman
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA tbosema1@jhmi.edu.
authors.forename: Thangamadhan
authors.initials: T
authors.lastname: Bosemani
mesh_terms: D003287:Contrast Media; D003937:Diagnosis, Differential; D015299:Discitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D011211:Electric Power Supplies / Q000009:adverse effects*; D004945:Esophagoscopy; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D013902:Radiography, Thoracic
chemical_list: D003287:Contrast Media
keywords: Spondylodiscitis; button battery ingestion; children; magnetic resonance imaging