Thefrequency of dysuria (p = 0.032), diarrhea/vomiting (p = 0.005), and fever (p = 0.002) was significantly lower inpatients with torsion. Patients with torsion had lower age (p < 0.0001), lower time from symptom to ED visit (p < 0.0001), sud-den onset pain (p = 0.003), left side pain (p < 0.0001), and lower white blood cell (WBC) count (p = 0.001).
After surgical exploration, 70 patients (86.4%) had testiculartorsion. The foreign body wasremoved using Nishihata forceps through a rigid esophagoscope under general anesthesia.Ĩ1 patients with themean age of 20.07 ± 9.64 (3- 45) years were studied. Chest X-ray and flexible endoscopy revealed a coin celllithium battery stuck in the pharyngoesophageal junction, but it could not be removed.
A 2-year-old girl wasreferred to a local doctor with cough and general fatigue. Here we report a case oflithium coin battery ingestion that was successfully removed using a rigid esophagoscope. The transcervical approach is feasible for removing esophagealforeign bodies, but it carries the risk of complications such as esophageal stenosis. Various removal methods, including rigid esophagoscopy, should be con-sidered for removing lithium coin cell batteries. Despite being the initial choice for removal, flexible endoscopy cannot remove suchforeign bodies from the esophagus. Because the voltage of such batteries is relatively high, their rapid removal is necessaryto avoid mucosal necrosis. A coin cell lithium battery is a common foreign body that can become lodged in the pediatric pharyngoe-sophageal junction.
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