Skip to main content
Article thumbnail
Location of Repository

Lodged oesophageal button battery masquerading as a coin: an unusual cause of bilateral vocal cord paralysis

By Jonathan Michael Bernstein, Stuart A Burrows and Michael W Saunders


An 11‐month‐old girl with an oesophageal foreign bodywas presented: from the radiographic appearance it was presumed to be a coin. Microlaryngoscopy 5 h after ingestion revealed a button battery impacted in the hypopharynx with severe damage to the oesophageal mucosa. The patient was intubated for 6 days in the intensive care unit because of stridor and respiratory distress. Repeat microlaryngoscopy demonstrated bilateral vocal cord palsy, which was presumed to be secondary to the involvement of the recurrent laryngeal nerves in the injury. We recommend that in the absence of a history of observed ingestion, it should be assumed that coin‐like foreign bodies are button batteries until proven otherwise

Topics: Emergency Casebook
Publisher: BMJ Group
OAI identifier:
Provided by: PubMed Central
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.pubmedcentral.nih.g... (external link)
  • Suggested articles

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.