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Oesophageal foreign body: an unusual presentation

M Oyewole1, O Ajayi2, A Hilger2

  • 1Department of Surgery, Hillingdon Hospital NHS Foundation Trust, Uxbridge, UK.

The Journal of Laryngology and Otology
|December 5, 2013
PubMed

Insights

A watch battery lodged in the esophagus caused respiratory issues in a child. Prompt diagnosis with chest X-rays is crucial for identifying esophageal foreign bodies and preventing complications.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Radiology

Background:

  • Esophageal foreign bodies are common in children.
  • Ingestion of button batteries poses a significant risk due to potential caustic injury.

Observation:

  • A 17-month-old child presented with recurrent upper respiratory tract symptoms.
  • Initial presentations mimicked common childhood illnesses, delaying diagnosis.

Findings:

  • Radiographic imaging revealed a watch battery lodged in the esophagus, compressing the trachea.
  • Successful retrieval of the foreign body was achieved under general anesthesia.

Implications:

  • Large esophageal foreign bodies can present with atypical respiratory symptoms.
  • Anteroposterior and lateral chest radiography are essential for diagnosing esophageal impaction.
  • Early recognition and intervention are critical to prevent airway compromise.
Abstract

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