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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: rohit.gohil999@googlemail.com
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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

Information

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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References

1Litovitz, TL, Schmitz, RN. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics 1992;89:747–57CrossRefGoogle ScholarPubMed
2Hamilton, JM, Schraff, SA, Notrica, DM. Severe injuries from coin cell battery ingestions: 2 case reports. J Pediatr Surg 2009;44:644–7Google Scholar
3Samad, L, Ali, M, Ramzi, H. Button battery ingestion: hazards of esophageal impaction. J Pediatr Surg 1999;34:1527–31Google Scholar
4Yardeni, D, Yardeni, H, Coran, AG, Golladay, ES. Severe esophageal damage due to button battery ingestion: can it be prevented? Pediatr Surg Int 2004;20:496–501Google Scholar
5McLarty, JD, Krishnan, M, Rowe, MR. Disk battery aspiration in a young child: a scarcely reported phenomenon. Arch Otolaryngol Head Neck Surg 2012;138:680–2Google Scholar
6Litovitz, T, Whitaker, N, Clarke, L, White, NC, Marsolek, M. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010;125:1168–77Google Scholar
7Litovitz, TL. Battery ingestions: product accessibility and clinical course. Pediatrics 1985;75:469–76Google Scholar
8McDermott, VG, Taylor, T, Wyatt, JP, MacKenzie, S, Hendry, GM. Orogastric magnet removal of ingested disc batteries. J Pediatr Surg 1995;30:29–32CrossRefGoogle ScholarPubMed
9Campbell, JB, Davis, WS. Catheter technique for extraction of blunt esophageal foreign bodies. Radiology 1973;108:438–40CrossRefGoogle ScholarPubMed
10Maves, MD, Lloyd, TV, Carithers, JS. Radiographic identification of ingested disc batteries. Pediatr Radiol 1986;16:154–6Google Scholar
11Kuhns, DW, Dire, DJ. Button battery ingestions. Ann Emerg Med 1989;18:293–300CrossRefGoogle ScholarPubMed
12Tanaka, J, Yamashita, M, Yamashita, M, Kajigaya, H. Esophageal electrochemical burns due to button type lithium batteries in dogs. Vet Hum Toxicol 1998;40:193–6Google ScholarPubMed
13Bass, DH, Millar, AJ. Mercury absorption following button battery ingestion. J Pediatr Surg 1992;27:1541–2CrossRefGoogle ScholarPubMed
14Kulig, K, Rumack, CM, Rumack, BH, Duffy, JP. Disk battery ingestion. Elevated urine mercury levels and enema removal of battery fragments. JAMA 1983;249:2502–4CrossRefGoogle ScholarPubMed
15Studley, JG, Linehan, IP, Ogilvie, AL, Dowling, BL. Swallowed button batteries: is there a consensus on management? Gut 1990;31:867–70Google Scholar
16Gordon, AC, Gough, MH. Oesophageal perforation after button battery ingestion. Ann R Coll Surg Engl 1993;75:362–4Google Scholar
17Willis, GA, Ho, WC. Perforation of Meckel's diverticulum by an alkaline hearing aid battery. Can Med Assoc J 1982;126:497–8Google Scholar
18Slamon, NB, Hertzog, JH, Penfil, SH, Raphaely, RC, Pizarro, C, Derby, CD. An unusual case of button battery-induced traumatic tracheoesophageal fistula. Pediatr Emerg Care 2008;24:313–16CrossRefGoogle ScholarPubMed
19Maves, MD, Carithers, JS, Birck, HG. Esophageal burns secondary to disc battery ingestion. Ann Otol Rhinol Laryngol 1984;93:364–9CrossRefGoogle ScholarPubMed
20Kost, KM, Shapiro, RS. Button battery ingestion: a case report and review of the literature. J Otolaryngol 1987;16:252–7Google Scholar
21Laugel, V, Beladdale, J, Escande, B, Simeoni, U. Accidental ingestion of button battery. Arch Pediatr 1999;6:1231–5CrossRefGoogle ScholarPubMed