• J Laryngol Otol · Mar 2014

    Case Reports

    Accidental button battery ingestion presenting as croup.

    • R Gohil, J Culshaw, P Jackson, and S Singh.
    • Department of Otolaryngology and Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.
    • J Laryngol Otol. 2014 Mar 1; 128 (3): 292-5.

    ObjectivesTo 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 ReportAn 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.ConclusionThis 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.

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