1. Tension pneumothorax and subcutaneous emphysema during retrieval of an ingested lithium button battery.
- Author
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Parray T, Siddiqui SM, Hughes M, and Shah S
- Subjects
- Anesthesia, General, Child, Preschool, Esophageal Perforation etiology, Esophageal Perforation surgery, Female, Foreign Bodies diagnostic imaging, Humans, Iatrogenic Disease, Insufflation, Intraoperative Complications diagnostic imaging, Mediastinum injuries, Mucous Membrane injuries, Mucous Membrane pathology, Pleura injuries, Pneumothorax diagnostic imaging, Radiography, Thoracic, Subcutaneous Emphysema diagnostic imaging, Foreign Bodies surgery, Intraoperative Complications etiology, Pneumothorax etiology, Subcutaneous Emphysema etiology
- Abstract
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.
- Published
- 2010
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