Korean J Radiol.  2008 Dec;9(6):555-558. 10.3348/kjr.2008.9.6.555.

Spondylodiscitis Complicated by the Ingestion of a Button Battery: a Case Report

Affiliations
  • 1Department of Radiology, Salmaniya Medical Complex, Kingdom of Bahrain. pjsudhakar@rediffmail.com

Abstract

A one-and-a-half year old boy who presented with a cough, irritability, and refusal of food was found to have an impacted foreign body in his upper esophagus. We present the radiologic findings of the foreign body (a button battery) impacted in the upper esophagus and its complications; namely, mediastinitis and spondylodiscitis after endoscopic removal. Further, plain radiograph and MR imaging findings are discussed along with literature review.

Keyword

Foreign body; Battery, Infective discitis; Osteomyelitis; Magnetic resonance (MR)

MeSH Terms

Discitis/diagnosis/*etiology
*Esophagus
Foreign Bodies/*complications/radiography
Humans
Infant
Magnetic Resonance Imaging
Male
Mediastinitis/diagnosis/etiology

Figure

  • Fig. 1 Spondylodiscitis in a child. A. Plain chest film demonstrates foreign body (button battery) in superior mediastinum. Bilateral chest tubes were inserted to relieve pneumothorax, which had developed during endoscopic extraction. B-D. T2- (B), T1-weighted (C) and contrast-enhanced T1-weighted sagittal image (D) showing T1-2 spondylodiscitis with pre-vertebral extension. E-G. T2-weighted axial image (E) demonstrates diffuse hyperintensity in mediastinal planes. Pre- (F) and contrast-enhanced T1-weighted axial image (G) revealed diffuse enhancement in mediastinum suggesting mediastinitis.


Reference

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