An unusual case of an oesophageal foreign body presenting as torticollis

Area of Science:

• Otolaryngology
• Paediatric Medicine
• Medical Imaging

Background:

• Oesophageal foreign bodies (FBs) are common in children, often presenting with non-specific symptoms beyond dysphagia.
• Accurate history taking in paediatric cases of FBs can be challenging, potentially delaying diagnosis and treatment.
• Ingested button batteries pose a significant risk of severe complications, prompting patient safety alerts.

Observation:

• A two-year-old girl presented with torticollis, a common paediatric symptom with various potential causes.
• Initial assessment did not immediately suggest an oesophageal foreign body as the underlying cause.
• Further investigation revealed an ingested button battery lodged in the oesophagus.

Findings:

• The button battery ingestion was the unexpected cause of the child's torticollis.
• Early recognition and removal of oesophageal button batteries are crucial to prevent serious sequelae.
• This case underscores the diverse and sometimes atypical presentations of oesophageal FB in children.

Implications:

• Highlights the importance of considering oesophageal button battery ingestion in paediatric patients presenting with torticollis.
• Emphasizes the need for heightened awareness among clinicians regarding the potential for serious complications from button battery ingestion.
• Suggests that a low threshold for oesophageal investigation may be warranted in paediatric cases with unexplained symptoms, especially when battery ingestion is suspected.