Case Reports in Anesthesiology · 3 authors, 2 centres
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An 11-month-old girl with a button battery lodged in the proximal esophagus was successfully treated using a video laryngoscope with Magill forceps after repeated endoscopic grasping attempts failed. The authors advocate for video laryngoscopy as a primary or adjunct tool for proximal esophageal foreign body removal.
This case report describes an 11-month-old girl who presented with a button battery lodged in the proximal esophagus approximately seven hours after ingestion. After rapid sequence induction and intubation with a video laryngoscope, the pediatric surgical team made multiple unsuccessful attempts to retrieve the degraded battery using standard endoscopes and graspers. A combined approach using video laryngoscopy for visualization of the posterior oropharynx alongside Magill forceps was then employed, resulting in immediate successful removal. The patient tolerated the procedure without acute complications and was discharged on postoperative day two. The authors reference prior observational literature, including Kaufman et al. (22 patients), supporting video laryngoscopy for proximal esophageal foreign body retrieval. The case supports video laryngoscopy as a valuable adjunct or primary technique for button battery retrieval in the proximal esophagus.
