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KMID : 1037620210080020116
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Pediatric Emergency Medicine Journal
2021 Volume.8 No. 2 p.116 ~ p.119
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A case of stacked coin ingestion mistaken for button battery
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Kim Seong-Rim
Park Jun-Sung
Oh Seak-Hee
Lee Jeong-Yong
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Abstract
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Button battery ingestion requires emergency endoscopic removal since severe complications, such as esophageal perforation, can develop within 4 hours of the ingestion. Given that guardians do not witness the children’s foreign body ingestion 40% of the time, physicians can only guess what was swallowed based on plain radiography. We report a case of a 45-month-oldboy who visited the emergency department after swallowing an unknown foreign body and whose radiographs showed “circle-within-a-circle appearance” on the anteroposterior view and “step-off appearance” on the lateral view, suggesting button battery ingestion. We conducted emergency endoscopic removal, and found stacked coins mimicking a button battery on the radiographs. The coins were pushed into the stomach and came out through defecation 3 weeks later without further complications.
Distinguishing between stacked coins and a button battery through radiography may help avoid unnecessary emergency endoscopy.
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KEYWORD
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Child, Esophagus, Foreign Bodies, Numismatics, X-Rays
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FullTexts / Linksout information
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Listed journal information
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