Deepshikha Nandy¹* and Souvik Roy Choudhury²

¹Junior Consultant, Medica Superspeciality Hospital, Kolkata, India
²Senior Consultant, Medica Superspeciality Hospital, Kolkata, India

*Corresponding Author: Deepshikha Nandy, Junior Consultant, Medica Superspeciality Hospital, Kolkata, India.

Received: April 20, 2024; Published: June 17, 2024

Abstract

Introduction: Foreign body ingestion is common in children and majority of which are low risk objects which needs no intervention. However there are certain high risk objects that need urgent intervention like button batteries, sharp objects, magnets, large objects (>6 cm long and/or wider than 2.5 cm), lead based objects , corrosive objects and objects that cause symptoms and oesophageal obstruction [1]. In case of children the most common site at which foreign body get lodged in oesophagus is cricopharyngeal junction which is narrowest part of oesophagus but if foreign body get lodged lower down which happens mostly in case of adults, an underlying cause such as acquired or congenital stricture ,neuromuscular cause like myasthenia gravis, mechanical cause like spondylitis or malignancy is suspected [2].

Case Report: We report a case of three days old button battery impacted in oesophagus just below level cricopharyngeal sphincter which was mistaken as a one rupee coin from history and X-ray neck and chest-AP view (Figure 1). On third day it was removed by Oesophagoscopy with a rigid oesophagoscope and there was underlying erosion of oesophageal mucosa and deeper layers. After successful removal of coin proper post-operative care was taken of the patient in Paediatric Intensive Care Unit (PICU) and then in general ward. The patient survived with no complication but the patient wanted discharge after seventh day. So delayed complication like oesophageal stricture and stenosis could not be evaluated.

Discussion: Button battery ingestion has become increasingly common because of their widespread use in various devices. Button battery ingestion and impaction in oesophagus is associated with serious complications because of local injury caused by leakage of alkaline electrolyte. Safe period of removal of impacted foreign body without complication is <2hours.In our case as button battery is removed after safe window period complications can happen like delayed oesophageal perforation or stricture.

Conclusion: From our experience we understood that all coin like round foreign body impacted in oesophagus with confused history, should be evaluated to rule out chances of button battery by double ring or step-off sign and it should br removed within two hours to avoid complications.

 Keywords: Oesophagoscopy; Rigid Oesophagoscope; X-ray

References

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Citation

Citation: Deepshikha Nandy and Souvik Roy Choudhury. “Button Battery Mimicking a Coin in Oesophagus".Acta Scientific Otolaryngology 6.7 (2024): 14-16.

Copyright

Copyright: © 2024 Deepshikha Nandy and Souvik Roy Choudhury. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.