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Images in Paediatrics
  1. Nandhini Kumaraguru1,
  2. Jutta Köglmeier2,
  3. Munther Haddad3
  1. 1Chelsea and Westminster Hospital, London, UK
  2. 2Paediatric Gastroenterology Unit, Chelsea and Westminster Hospital, London, UK
  3. 3Paediatric Surgery Unit, Chelsea and Westminster Hospital, London, UK
  1. Correspondence to Dr Nandhini Kumaraguru, Chelsea and Westminster Hospital, London, UK; knandhini2k{at}yahoo.com

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Background

A 21-month-old girl presented to the emergency department 5 h after accidental ingestion of approximately 30 button batteries. Her clinical examination was unremarkable, and she remained well, apart from one episode of bilious vomiting. Abdominal x-ray showed multiple batteries scattered in the stomach and few in the small and large bowel (figure 1).The oesophagus …

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