RESUMEN
We present the clinical and radiological findings involving a mesenteric lymphatic malformation causing volvulus in a toddler presenting with acute abdominal pain, as well as its treatment options.
Asunto(s)
Abdomen Agudo/diagnóstico , Vólvulo Intestinal/diagnóstico , Sistema Linfático/anomalías , Mesenterio/anomalías , Abdomen Agudo/cirugía , Preescolar , Diagnóstico Diferencial , Diagnóstico por Imagen , Humanos , Vólvulo Intestinal/cirugía , Sistema Linfático/cirugía , Masculino , Mesenterio/cirugíaAsunto(s)
Articulación de la Cadera/diagnóstico por imagen , Artropatías/diagnóstico por imagen , Sistemas de Atención de Punto , Artralgia/diagnóstico por imagen , Artralgia/etiología , Niño , Preescolar , Competencia Clínica/normas , Diagnóstico Diferencial , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Trastornos del Movimiento/diagnóstico por imagen , Pediatras/normas , Estudios Retrospectivos , Centros de Atención Terciaria , Ultrasonografía/normasRESUMEN
BACKGROUND: Foreign body ingestion is a frequent complaint in the Pediatric Emergency Department. OBJECTIVE: Button-battery ingestion is discussed, with particular attention being given to its management. CASE REPORT: Here is an interesting case of a button-battery ingestion by a 1-year-old boy with known asthma who presented to our Emergency Department. He presented in acute respiratory distress with signs of upper airway obstruction. Failing conventional therapy, a chest radiograph was obtained, which led to the diagnosis and subsequent removal. CONCLUSION: The management of a button-battery ingestion depends on the patient's age, the presence or absence of symptoms, the size of the object, and location of the object within the gastrointestinal tract. In years past, every esophageal button battery required emergent endoscopic removal. But revised guidelines from the National Battery Ingestion Hotline at the National Capital Poison Center have adjusted this management, which is discussed.