Button battery ingestion is a hazardous condition which is associated with the increasing technology in household products and using button battery for power supply. Most of the button battery ingestions are unwitnessed so parents’ unawareness of the potential lethal outcomes may delay the doctor visit. Lack of a clear approach or strategy for diagnosis and treatment in the first line medical caregivers is the major concern. The current study presents two cases with neglected button battery ingestion referred to the emergency ward of Pediatrics Hospital of Tabriz. With regard to review of articles and authors’ experiences a management protocol to early diagnosis is outlined for any suspected patients while the proper treatments to decline the life threatening complications are suggested which are simple to do for local practitioners.