Baby Death Due to Esophagotracheal Fistula Created by An Alkaline Battery: A Case Report


alkaline battery
esophagotracheal fistula
forensic medicine

How to Cite

Teke H, Can M, Renklidağ T, Temel N, Gökmen A. Baby Death Due to Esophagotracheal Fistula Created by An Alkaline Battery: A Case Report. The Bulletin of Legal Medicine. 2018;23(2):120-122. DOI:


There is a limited number of case presentations in literature related to esophagus burns and complications as a result of swallowing an alkaline battery. The main purpose of this case presentation was to discuss the autopsy findings of late-developing complications of swallowing an alkali battery in the light of the relevant literature.

On the chest radiography of a 9-month old baby with complaints of vomiting for three days, an opacity was observed consistent with a foreign body in the esophagus. Esophagoscopy was applied and the swallowed battery was removed. On the fifth day after the operation, no complication has been observed to oral feeding was started and on the following day the patient was discharged. Four days after discharge, the patient was again brought to hospital with complaints of blood in vomit and was again hospitalized with a diagnosis of chemical esophageal burn. The patient died on the following day....


Cihat Şarkış, Selçuk Yazıcı, Muhammet Can. Disk Battery Ingestion; A malpractice case that results in pneumonia. Adli Tıp Bülteni, 2016; 21(3): 196-198. DOI:

Yıldırım, M, Doğusoy, I, Okay, T, Yaşaroğlu, M, Demirbağ, H, Aydemir, B, Uncu İmamoğlu, O, Yıldırım, HN.Tracheabrochial Foreign Substances. Turkish Thoracic and Cardiovascular Surgery Journal. 2003;(11); 228-231

İnci İ, Özçelik C, Ülkü R, Eren N. Esophagus Foreign Substances: 682 Inspection of Case. Thoracic and Cardiovascular Surgery Journal. 1999; (7); 148-152

Macpherson R.I, Hill J.G, Othersen H.B, Tagge EB, Smith C.D. Esophageal foreign bodies in children: Diagnosis, treatment and complications. AJR. 1996;(166); 919-924

Litovitz T, Schmitz B.F. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics. 1992;(89); 747-757

Topçu S, Çetin G. Foreign substances of esophagus. In: Yüksel M, Başoğlu A, editors. Medical and Surgical treatment of esophagus illnesses. İstanbul: Bilmedya Grup; 2002; pp. 71-76

Türkyılmaz A, Aydın Y, Genç F, Eroğlu A. Factor increasing swallowing of esophagus foreign substance for children: Alkali batteries. Turkish Thoracic and Cardiovascular Surgery Journal. 2008;16 (4), 250-253

Kürkçüoğlu İ.C, Eroğlu A, Tekinbaş C, Karaoğlanoğlu N. Situation of swallowing alkali battery by accident for children. Turkish Thoracic and Cardiovascular Surgery Journal. 2003; (11); 193-194

Maves M.D, Carithers J.S, Birck H.G. Esophageal burns secondary to disc battery ingestion. Ann Otol Rhinol Laryngol. 1984; (93); 364-369

Willis G.A, Ho W.C. Perforation of Meckel’s diverticulum by an alkaline hearing aid battery. Can Med Assoc J. 1982;(126); 497-498

Blatnik D.S, Toohill R.J, Lehman R.H. Fatal Complication from an alkaline batterry foreign body in the esophagus. Ann Otol Rhinol Larygol. 1977; (86); 611-615

Shabino C.L, Feinberg A.N. Esophagial perforation secondary to alkaline battery ingestion. JACEP. 1978;(8); 360-362

Yardeni D, Yardeni H, Coran A.G, Golladay E.S. Severe esophageal damage due to button battery ingestion: can it be prevented?.Pediatr Surg Int. 2004;(20); 496-501

Nandi P, Ong G.B. Foreign body in the esophagus: review of 2394 cases. Br J Surg. 1978;(65); 5-9

Newman D.E. Radiolucent esophageal foreign body; an often forgotten cause of respiratory symptoms. J Pediatr. 1978;(92); 60-63

Remsen K, Lawson W, Biller H.F, Som M.L. Unusual prenestations of penetratign foreign bodies of the upper aerodigestive system. Ann Otol Rhinol Laryngol. 1983;(92); 32-44

Yee K.F, Schild J.A, Hollinger P.H. Extramural foreign bodies (coins) in the food and air pasages. Ann Otol Rhinol Laryngol. 1975;(84); 619-623

Millar A.J.W, Rode H, Cywes S. Button-batery ingestions- a hazard of modern living. S Afr Med J. 1985;(68); 868-871

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.


Download data is not yet available.