scholarly journals Delayed Diagnosis of a Pediatric Airway Foreign Body: Case Report and Review of the Literature

2002 ◽  
Vol 81 (9) ◽  
pp. 655-656 ◽  
Author(s):  
Christine B. Franzese ◽  
John M. Schweinfurth

Foreign body aspiration is a common pediatric problem that affects children of all ages, including those who are well into their adolescence. We describe the case of a 9-year old boy with an airway foreign body that had gone unrecognized for 3 months. We also review the literature on pediatric airway foreign bodies, with a focus on delayed diagnosis. A diagnosis of foreign body aspiration should be considered whenever a previously healthy child suddenly exhibits unexplained symptoms that are refractory to medical treatment and are consistent with airway obstruction.

1995 ◽  
Vol 109 (7) ◽  
pp. 646-649 ◽  
Author(s):  
Paul J. Donald ◽  
Arun K. Gadre

AbstractAn unusual case of a retained airgun pellet in the ethmoid sinus is presented. The patient's only complaint was a severe neuralgic headache. Anatomical basis for this symptom, imaging and successful endoscopic removal of the foreign body are discussed. The philosophy for removal of innocuous foreign bodies, potential pitfalls in surgical management, and a review of the literature are included in the discussion.


1996 ◽  
Vol 63 (1) ◽  
pp. 139-141
Author(s):  
E. Cossaro ◽  
F. Laganà ◽  
F. Sercia ◽  
C. Ronconi ◽  
M. Marchini

— There are several reports of intravesical foreign bodies, but those due to migration from adjacent organs or tissues are unusual. We report a case of an intravesical acetabular prosthesis in an 81-year-old woman, who 24 years before had a total left hip replacement for severe coxarthrosis, with subseguent removal of the femoral head 3 years later due to rejection. Our case is unusual for the long latency, lack of severe complications and absence in literature of reports of acetabular prosthesis as an intravesical foreign body.


1998 ◽  
Vol 107 (10) ◽  
pp. 834-838 ◽  
Author(s):  
Andrew B. Silva ◽  
Harlan R. Muntz ◽  
Randall Clary

Pediatric airway foreign bodies are potentially life-threatening situations. The otolaryngologist is often consulted to aid in the diagnosis and management of these difficult cases. Although radiographic studies are often obtained, the decision for surgical intervention is usually based on a suspicious history and physical examination. Our hypothesis is that radiographic imaging should not alter the decision for surgical intervention. We retrospectively reviewed the cases of pediatric airway foreign bodies managed by the otolaryngology department at St Louis Children's Hospital between December 1990 and June 1996 with both radiographic imaging and operative intervention. Ninety-three cases of potential aspiration were identified, with a median patient age of 20 months. The most common presenting signs and symptoms were aspiration event (n = 82), wheezing (n = 76), decreased breath sounds (n = 47), cough (n = 39), respiratory distress (n = 17), fever (n = 16), pneumonia (n = 14), and stridor (n = 7). At the time of endoscopy, 73 patients were found to have an airway foreign body. The sensitivity and specificity of the imaging studies in identifying the presence of an airway foreign body in the 93 patients were 73% and 45%, respectively. Our decision for operative intervention was based on the history and physical examination, and was not changed in the presence of a negative radiographic study. The routine use of radiography should not alter the management of airway foreign bodies, providing that there is a well-equipped endoscopic team familiar with airway foreign bodies.


1996 ◽  
Vol 110 (12) ◽  
pp. 1164-1165 ◽  
Author(s):  
N. A. Bhat ◽  
J. Oates

AbstractInhalation of a foreign body is a serious event. A small proportion of foreign bodies become impacted in the larynx, when urgent recognition is required to prevent disaster. The case of an 18-month-old baby with an impacted artificial finger nail in the larynx is described along with a brief review of the literature


Author(s):  
Julia Mariel Saidman ◽  
Victoria Bertoni ◽  
Cristian Miguel Demeco ◽  
Maria Laura Padilla ◽  
Maria Nieves Ormaechea ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Walailak Tatsanakanjanakorn ◽  
Surapol Suetrong

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.


2020 ◽  
Vol 15 (11) ◽  
pp. 2391-2395
Author(s):  
Robert E. Wineski ◽  
Emma C. Panico ◽  
Luke N. Bailey ◽  
Agustin M. Cardenas ◽  
Jessica W. Grayson ◽  
...  

Respiration ◽  
2021 ◽  
pp. 1-4
Author(s):  
Alessandro Di Marco Berardino ◽  
Erino Angelo Rendina ◽  
Martina Bonifazi ◽  
Lina Zuccatosta ◽  
Letizia Lara Latini ◽  
...  

The detection of foreign bodies in the pleural cavity is rare and mostly consequent to iatrogenic or traumatic events. The migration of an inhaled foreign body from the airways to the pleural space through a bronchopleural fistula is an exceptional event. We report a case of a pleural empyema consequent to an inhaled wooden skewer. CT scan and bronchoscopy were unable to identify the foreign body, due to its migration in the peripheral airways. The thin and pointed foreign body perforated the visceral pleural surface emerging in the pleural cavity.


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