Abstract

Background: A button battery can cause perforation of Meckel’s diverticulum if sequestered in this blind ending bowel segment. Reported cases focused on clinical manifestations, management options, radiologic and intraoperative findings. We highlight the histopathologic features in perforated Meckel’s diverticula due to ingested button batteries. Case report: Three toddlers presented with perforated Meckel’s diverticula after button battery ingestion. Histologic examination of the diverticula showed multiple burn-like mucosal ulcerations and liquefactive wall perforations of the tips, associated with prominent siderotic pigment deposits and calcifications. There were various residual materials with variable staining patterns in the luminal debris, necrotic tissue and adjacent to submucosal blood vessels. Conclusion: There is accelerated deposition of iron and calcium associated with button batteries.

摘要

背景：纽扣电池如果隔离在这个盲端肠段中，会导致梅克尔憩室穿孔。报告的病例侧重于临床表现、管理方案、放射学和术中发现。我们重点介绍了因摄入纽扣电池而导致的穿孔梅克尔憩室的组织病理学特征。案例报告：三名幼儿在摄入纽扣电池后出现穿孔的梅克尔憩室。憩室的组织学检查显示多个烧伤样粘膜溃疡和顶端液化壁穿孔，伴有显着的含铁色素沉积和钙化。管腔碎片、坏死组织和粘膜下血管附近有各种染色模式不同的残留物质。结论：与纽扣电池相关的铁和钙沉积加速。