Foreign body ingestion - overlapping coins mimicking button battery
Updates to Case Attributes
The radiological signs are crucial in identifying foreign objects, especially in distinguishing between a coin and a button battery. When a coin is swallowed and an X-ray is taken, it appears as a radiopaque disk in the anteroposterior (AP) view. However, in the lateral view, there is usually no other radiological sign that can be discerned. On the other hand, a button battery may manifest radiological characteristics that can help identify it. In the AP view, it may show a Halo sign, which is a radiolucent ring surrounding the radiodense central core of the battery. Furthermore, the lateral view X-ray can help confirm the presence of a button battery with the Step-Off sign.
It seems that the radiological findings for this case were not straightforward and made it a challengechallenging to differentiate between a coin and a button battery. From what I have gathered from various articles, a step-off sign is a strong indicatorstrongly indicates that the foreign object is a button battery, regardless of the presence or absence of a Halo or Pseudo-Halo sign. However, this case has refuted the step-off sign as a strong indicator only for button batteries.
The Clinical Message's Importance lies in the need for clinicians to be cautious when they observe a Step-Off sign on the lateral view X-ray. It should prompt them to consider urgent intervention to prevent complications related to a battery ingestion. However, if they find that a single coin has been removed instead of a battery, they should revisit the case to ensure that no other coin has been missed in the oesophagus or ascertain whether it has passed into the stomach.
Differential diagnosis for the Step-Off sign on the lateral view x-ray for foreign body ingestion:
Button Battery
Overlapping two different-sized coins
In conclusion, the presence of a step-off sign in the lateral view of the X-ray is not exclusively for a button battery alone. It may also indicate the presence of overlapping two different-sized coins.
-<p>The radiological signs are crucial in identifying foreign objects, especially in distinguishing between a coin and a button battery. When <strong>a coin</strong> is swallowed and an X-ray is taken, it appears as a radiopaque disk in the anteroposterior (AP) view. However, in the lateral view, there is usually no other radiological sign that can be discerned. On the other hand, <strong>a button battery </strong>may manifest radiological characteristics that can help identify it. In the AP view, it may show <strong>a Halo sign,</strong> which is a radiolucent ring surrounding the radiodense central core of the battery. Furthermore, the lateral view X-ray can help confirm the presence of a button battery with <strong>the Step-Off sign</strong>.</p><p>It seems that the radiological findings for this case were not straightforward and made it a challenge to differentiate between a coin and a button battery. From what I have gathered from various articles, a step-off sign is a strong indicator that the foreign object is a button battery, regardless of the presence or absence of a Halo or Pseudo-Halo sign.</p><p><strong>The Clinical Message's Importance</strong> lies in the need for clinicians to be cautious when they observe a Step-Off sign on the lateral view X-ray. It should prompt them to consider urgent intervention to prevent complications related to a battery ingestion. However, if they find that a single coin has been removed instead of a battery, they should revisit the case to ensure that no other coin has been missed in the oesophagus or ascertain whether it has passed into the stomach.</p><p><strong>Differential diagnosis</strong> for the <strong>Step-Off sign</strong> on the lateral view x-ray for foreign body ingestion:</p><ol>- +<p>The radiological signs are crucial in identifying foreign objects, especially in distinguishing between a coin and a button battery. When <strong>a coin</strong> is swallowed and an X-ray is taken, it appears as a radiopaque disk in the anteroposterior (AP) view. However, in the lateral view, there is usually no other radiological sign that can be discerned. On the other hand, <strong>a button battery </strong>may manifest radiological characteristics that can help identify it. In the AP view, it may show <strong>a Halo sign,</strong> which is a radiolucent ring surrounding the radiodense central core of the battery. Furthermore, the lateral view X-ray can help confirm the presence of a button battery with <strong>the Step-Off sign</strong>.</p><p>It seems that the radiological findings for this case were not straightforward and made it challenging to differentiate between a coin and a button battery. From what I have gathered from various articles, a step-off sign strongly indicates that the foreign object is a button battery, regardless of the presence or absence of a Halo or Pseudo-Halo sign. However, this case has refuted the step-off sign as a strong indicator only for button batteries. </p><p><strong>The Clinical Message's Importance</strong> lies in the need for clinicians to be cautious when they observe a Step-Off sign on the lateral view X-ray. It should prompt them to consider urgent intervention to prevent complications related to a battery ingestion. However, if they find that a single coin has been removed instead of a battery, they should revisit the case to ensure that no other coin has been missed in the oesophagus or ascertain whether it has passed into the stomach.</p><p><strong>Differential diagnosis</strong> for the <strong>Step-Off sign</strong> on the lateral view x-ray for foreign body ingestion:</p><ol>
Unable to process the form. Check for errors and try again.