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Tension pneumothorax and subcutaneous emphysema during retrieval of an ingested lithium button battery
Authors:Tariq Parray  Saif M. Siddiqui  Melissa Hughes  Shailesh Shah
Affiliation:(1) 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
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.
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