Walton J M, Darr A, George A
Northampton General Hospital NHS Trust , UK.
Walsall Healthcare NHS Trust , UK.
Ann R Coll Surg Engl. 2016 Mar;98(3):e40-2. doi: 10.1308/rcsann.2016.0076.
Oesophageal foreign bodies (FBs) are commonly encountered in an otolaryngology setting. The majority of such cases remain in the paediatric population, where obtaining an accurate history of events is challenging. Oesophageal FBs present in a variety of ways other than dysphagia, which may result in delayed presentation, diagnosis and subsequent treatment. Where an ingested FB is a battery, early removal is advocated owing to the potential for significant complications, a problem highlighted by a patient safety alert issued by NHS England. A common paediatric presentation, torticollis has a multitude of potential underlying causes. We present an unusual case of torticollis in a two-year old girl, subsequently revealed to be caused by an ingested button battery.
食管异物在耳鼻喉科环境中很常见。此类病例大多发生在儿童群体中，要获取准确的事件病史具有挑战性。食管异物除吞咽困难外还以多种方式表现出来，这可能导致就诊、诊断及后续治疗延迟。如果摄入的异物是电池，鉴于可能出现严重并发症，主张尽早取出，英国国民保健制度发布的患者安全警报突出了这一问题。斜颈是儿童常见的表现，有多种潜在的根本原因。我们报告了一名两岁女孩斜颈的罕见病例，后来发现是由摄入的纽扣电池引起的。
