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Accidental button battery ingestion presenting as croup

Published online by Cambridge University Press:  20 February 2014

R Gohil ,
J Culshaw ,
P Jackson  and
S Singh
R Gohil*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK
J Culshaw
Affiliation:
University of Nottingham Medical School, Queen's Medical Centre, Nottingham, UK
P Jackson
Affiliation:
Department of Paediatric Surgery, Queen's Medical Centre, Nottingham, UK
S Singh
Affiliation:
Department of Paediatric Surgery, Queen's Medical Centre, Nottingham, UK
*
Address for correspondence: Mr Rohit Gohil, Department of Otolaryngology and Head and Neck Surgery, Queen's Medical Centre, Nottingham NG7 2UH, UK E-mail: [email protected]
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Abstract

Objectives:

To report a case of misdiagnosis of an impacted oesophageal button battery in a child, and to describe the associated risk factors for impaction and the management of such cases.

Case report:

An 18-month-old, otherwise fit and well child with stridulous respiration was initially treated for croup. Medical treatment over the course of three months failed, and appropriate imaging subsequently demonstrated an impacted button battery in the upper oesophagus. This was promptly removed. There were no signs of damage on direct visualisation, or on a follow-up contrast swallow image.

Conclusion:

This case highlights the difficulty of diagnosing oesophageal foreign bodies. We also discuss the characteristics of button batteries which confer a greater risk of impaction, and the associated sequelae and complications.

Keywords

ChildEsophagusForeign BodiesEndoscopyComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 3 , March 2014 , pp. 292 - 295
Copyright
Copyright © JLO (1984) Limited 2014 

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