Button battery esophageal impaction

Case contributed by David Chang , 1 Jul 2018
Diagnosis certain
Changed by Francis Fortin, 19 Jul 2018

Updates to Case Attributes

Title was changed:
Button Battery Oesophageal Impactionbattery oesophageal impaction
Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
1 year old-year-old presents with his mother with irritability, coughing, and rhinorrhoea
Age changed from 1 Year to 1 year.
Body was changed:

This case demonstrates a classic finding of impaction of a button battery in the cervical oesophagus.  Differentiation between a button battery and other foreign bodies is of the utmost importance.  Ingestion and impaction of a button battery can cause respiratory distress through obstruction and a caustic burn.  If the battery is impacted as seen in this case, significant morbidity and/or mortality can occur within 8 hours after ingestion.  

Button batteries if passed through thestomach pose minimal risk for impaction or burns and can be observed until passed in the stool.

  • -<p>This case demonstrates a classic finding of impaction of a button battery in the oesophagus.  Differentiation between a button battery and other foreign bodies is of the utmost importance.  Ingestion and impaction of a button battery can cause respiratory distress through obstruction and a caustic burn.  If the battery is impacted as seen in this case significant morbidity and/or mortality can occur within 8 hours after ingestion.  </p><p>Button batteries if passed through the stomach pose minimal risk for impaction or burns and can be observed until passed in the stool.  </p>
  • +<p>This case demonstrates a classic finding of impaction of a button battery in the cervical oesophagus.  Differentiation between a button battery and other foreign bodies is of the utmost importance.  Ingestion and impaction of a button battery can cause respiratory distress through obstruction and a caustic burn.  If the battery is impacted as seen in this case, significant morbidity and/or mortality can occur within 8 hours after ingestion.  </p><p>Button batteries if passed through the stomach pose minimal risk for impaction or burns and can be observed until passed in the stool.</p>

References changed:

  • 1. Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC, Gibbons TE, Pall H, Sahn B, McOmber M, Zacur G, Friedlander J, Quiros AJ, Fishman DS, Mamula P. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. (2015) Journal of pediatric gastroenterology and nutrition. 60 (4): 562-74. <a href="https://doi.org/10.1097/MPG.0000000000000729">doi:10.1097/MPG.0000000000000729</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25611037">Pubmed</a> <span class="ref_v4"></span>
  • 2. Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. (2010) Pediatrics. 125 (6): 1168-77. <a href="https://doi.org/10.1542/peds.2009-3037">doi:10.1542/peds.2009-3037</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20498173">Pubmed</a> <span class="ref_v4"></span>
  • 3.Litovitz T, Whitaker N, Clark L. Preventing battery ingestions: an analysis of 8648 cases. (2010) Pediatrics. 125 (6): 1178-83. <a href="https://doi.org/10.1542/peds.2009-3038">doi:10.1542/peds.2009-3038</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20498172">Pubmed</a> <span class="ref_v4"></span>
  • 4.Thompson N, Lowe-Ponsford F, Mant TG, Volans GN. Button battery ingestion: a review. (1990) Adverse drug reactions and acute poisoning reviews. 9 (3): 157-80. <a href="https://www.ncbi.nlm.nih.gov/pubmed/2278232">Pubmed</a> <span class="ref_v4"></span>
  • (1) Kramer RE, Lerner DG, Lin T, et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr 2015; 60:562. https://www.ncbi.nlm.nih.gov/pubmed?term=25611037 (2) Litovitz T, Whitaker N, Clark L, et al. (2010) Emerging battery-ingestion hazard: clinical implications. Pediatrics. 125:1168. https://www.ncbi.nlm.nih.gov/pubmed?term=20498173 (3) Litovitz T, Whitaker N, Clark L. (2010) Preventing battery ingestions: an analysis of 8648 cases. Pediatrics. 125:1178. https://www.ncbi.nlm.nih.gov/pubmed?term=20498172 (4) Thompson N, Lowe-Ponsford F, Mant TG, Volans GN. (1990) Button battery ingestion: a review. Adverse Drug React Acute Poisoning Rev. 9:157. https://www.ncbi.nlm.nih.gov/pubmed?term=2278232

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Button Battery Oesophageal Impaction
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