Presentation
Concern for ingested foreign body. Parents saw child swallow unknown object.
Patient Data
Circular metal object in the proximal esophagus, with imaging features worrisome for a button battery. There is no surrounding soft tissue edema or tracheal deviation.
Endoscopy revealing two coins within the upper gastrointestinal tract. No button battery was found.
Case Discussion
This is a case of two stacked coins that simulate a button battery. The absence of soft tissue edema and tracheal deviation (due to the local inflammatory reaction) suggests that this may not be a button battery. However, an EGD was performed given the significant concern of imaging characteristics that fit button battery ingestion.
Co-authors:
Camille Dumas, DO
Travis Bevington, MD
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