Erschienen in:
09.01.2018 | Case reports
Sudden death of a 2-year-old child after ingestion of a button battery
Medicolegal aspects
verfasst von:
A.-K. Kröll, N. Schaefer, A. Kiefer, P. Schmidt
Erschienen in:
Rechtsmedizin
|
Ausgabe 4/2018
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Abstract
A dramatic rise in the rate of fatal button battery injuries (BBI) among children under the age of 4 years has been described over the past decade. In the present case a 22-month-old child died after sudden onset of blood vomiting of unknown origin. A forensic autopsy revealed a button battery lodged in the esophagus with fatal fistulation into the thoracic aorta. Given all these findings, the cause of death was a massive hemorrhage due to ingestion of a button battery resulting in ulceration of the esophagus and penetration of the aortic wall. With respect to the clinical history and unspecific clinical symptoms, malpractice in terms of a missed diagnosis could not be proven.