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Accidental button battery ingestion presenting as croup

R Gohil1, J Culshaw2, P Jackson3

  • 1Department of Otolaryngology and Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.

The Journal of Laryngology and Otology
|February 22, 2014
PubMed

Insights

Misdiagnosed esophageal foreign bodies, like button batteries, pose risks. Prompt diagnosis and removal are crucial for pediatric patients to prevent complications.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Button battery ingestion is a common pediatric emergency.
  • Esophageal foreign bodies can present with non-specific symptoms, leading to delayed diagnosis.

Observation:

  • An 18-month-old child with stridulous respiration was initially misdiagnosed with croup.
  • Despite three months of medical treatment for presumed croup, the child's condition did not improve.
  • Imaging revealed an impacted button battery in the upper esophagus.

Findings:

  • The impacted button battery was successfully removed without immediate signs of damage.
  • Button batteries possess characteristics that increase the risk of esophageal impaction.
  • Delayed diagnosis of esophageal foreign bodies can lead to significant sequelae and complications.

Implications:

  • This case underscores the challenge in diagnosing esophageal foreign bodies in children.
  • Awareness of button battery risks and atypical presentations is vital for clinicians.
  • Timely diagnosis and intervention are critical to minimize morbidity associated with esophageal button battery impaction.
Abstract

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