Inferior thyroid artery pseudoaneurysm following button battery ingestion in a 9-month-old infant: a rare vascular complication

Sharmaine Marie Povananthiran; Christina Loo Poh Sim; Gomalaadevee Rajaram; Mohd Yusran Bin Othman; Hafatin Fairos Tamaddun; Salinawati Binti Bakin; Abd Al-Rhman Hikmet Shaker Al-Azawi

doi:10.18203/2349-2902.isj20253847

Authors

Sharmaine Marie Povananthiran Department of Surgery, Universiti Putra Malaysia, Selangor, Malaysia; Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
Christina Loo Poh Sim Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
Gomalaadevee Rajaram Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
Mohd Yusran Bin Othman Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
Hafatin Fairos Tamaddun Department of Paediatric Surgery, Hospital Tunku Azizah, Kuala Lumpur, Malaysia
Salinawati Binti Bakin Department of Radiology, Hospital Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Abd Al-Rhman Hikmet Shaker Al-Azawi Department of Surgery, Universiti Putra Malaysia, Selangor, Malaysia

DOI:

https://doi.org/10.18203/2349-2902.isj20253847

Keywords:

Button battery, Inferior thyroid artery, Pseudoaneurysm

Abstract

Button battery (BB) ingestion poses a significant pediatric surgical emergency, with increasing global incidence and serious morbidity in young children. Vascular complications, particularly involving the inferior thyroid artery, are extremely rare but potentially fatal. We report a case of a 9-month-old, with unwitnessed BB ingestion, presented with a history of hemoptysis and noisy breathing. Two weeks after the incident, the child developed complications of a right inferior thyroid artery pseudoaneurysm secondary to delayed diagnosis of esophageal BB impaction. The case was further complicated by bacteremia, esophageal stricture, and nutritional compromise, necessitating a multidisciplinary approach including endoscopic removal, endovascular embolization, jejunostomy, and eventual gastrostomy. This case highlights the importance of early recognition, vascular imaging, and structured follow-up in the management of severe BB ingestion.

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