Button battery ingestions are challenging ingestions and are often harmless; however, there can include a risk of death. Determining the time of ingestion and location of the battery in the GI tract is key to early diagnosis and treatment. A battery lodged in the esophagus can cause necrosis within 2 hours of ingestion (Terango & Liu, 2016).
In 2011, the introduction of brightly coloured, concentrated capsules (pods, tablets, sacchets) of laundry detergent varieties appeared in North America. These mixtures are usually composed of an anionic detergent, a cationic surfactant, and a nonionic detergent surrounded by a polyvinyl alcohol membrane. All brands contain irritants and some also contain alkaline substance. To complicate matters, each manufacturer uses different ingredients (Bonnie, Mazor, & Goldman, 2013) and they are fairly resistant to activated charcoal due to its pH!