Case report of isolated impaling lung injury with successful outcome

Impalement thoracic injuries are rare of great importance due to severity and high chances of mortality. It is essential to prevent possible vascular injury by the object avoiding major haemorrhage. This study’s primary objective is to discuss 22-year-old male patient admitted in emergency with impaling thoracic trauma by metallic sharp object post battery blast at home. X-ray reveals linear foreign body: penetrating thorax and lung. CT Chest was done and assessment was made for further management with cardiothoracic department. Patient details were collected by patient’s IPD file. Complete detailed history, patient vitals, hemogram, ABO, ABG, CXR along with USG chest and abdomen and CECT chest was done. Post op daily chest X-ray and hemogram along with chest physiotherapy and spirometry was done. Treatment diagnosis was impaled linear foreign body penetrating thorax and lung, patient was shifted to OT, under GA sternotomy was performed. Foreign object passing just lateral to subclavian penetrating upper pole of lung was identified and under specific vision pulled out carefully through entry wound keeping in mind vascular trauma. Necrosed lung part was stapled and wedge resected, on POD 8 patient was discharged with satisfactory condition. Impalement thoracic traumas are rare and have high mortality. Selection of line of treatment is necessary. Indication of surgery under high risk is performed for further trauma. In our case sternotomy was planned and under specific vision impaled object which was passing just by subclavian penetrating through lung was removed safely and patient went home in good condition.

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FOREIGN BODY ASPIRATION IN CHILDREN: RADIOLOGICAL EVALUATION OF PREOPERATIVE CHEST X-RAY

10.36295/asro.2021.24439 ◽

2021 ◽

Vol 24 (04) ◽

Author(s):

Rasha Nadeem Ahmed ◽

Bassam Khaleel Al-abbasi ◽

Nashwan M-Al Hafidh

Keyword(s):

Foreign Body ◽

Foreign Body Aspiration ◽

Radiological Evaluation ◽

X Ray ◽

Chest X Ray ◽

Preoperative Chest

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Management of an unusual presentation of foreign body aspiration

The Journal of Laryngology & Otology ◽

10.1017/s0022215100120791 ◽

1992 ◽

Vol 106 (8) ◽

pp. 751-752 ◽

Cited By ~ 11

Author(s):

Hassan H. Ramadan ◽

Nicolas Bu-Saba ◽

Anis Baraka ◽

Salman Mroueh

Keyword(s):

Foreign Body ◽

Subcutaneous Emphysema ◽

Positive Pressure Ventilation ◽

Intermittent Positive Pressure Ventilation ◽

Foreign Body Aspiration ◽

Positive Pressure ◽

Review Of The Literature ◽

X Ray ◽

Post Surgery ◽

Chest X Ray

AbstractForeign body aspiration is a very common problem in children and toddlers and still a serious and sometimes fatal condition. We are reporting on a 2-year-old white asthmatic male who choked on a chick pea and presented with subcutaneous emphysema, and on chest X-ray with an isolated pneumomediastinum but not pneumothorax. On review of the literature an isolated pneumomediastinum without pneumothorax was rarely reported. This presented a challenge in management mainly because of the technique that we had to use in order to undergo bronchoscopy and removal of the foreign body. Apnoeic diffusion oxygenation was used initially while the foreign body was removed piecemeal, and afterwards intermittent positive pressure ventilation was used. The child did very well, and his subcutaneous emphysema and pneumomediastinum remarkably improved immediately post surgery.

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A gyermekkori alsó légúti idegentest-aspiráció diagnosztikája a klinikai gyakorlatban

Orvosi Hetilap ◽

10.1556/650.2018.31165 ◽

2018 ◽

Vol 159 (51) ◽

pp. 2162-2166

Author(s):

Dániel Hajnal ◽

Tamás Kovács

Keyword(s):

Foreign Body ◽

Standard Procedure ◽

False Negative ◽

Radiological Finding ◽

Paediatric Population ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

X Ray ◽

Co Morbidity ◽

Chest X Ray

Abstract: Introduction and aim: Rigid bronchoscopic foreign body removal is the gold standard procedure for foreign body aspiration. We have analysed our results of bronchoscopies and the accuracy of diagnosis among the paediatric population in Southeast Hungary. Method: A retrospective study of children admitted because of suspected solid foreign body aspiration between 2006 and 2017 was performed. Results: From among 220 admitted patients, 86 were suspected of solid particle aspiration. Presenting history was certain in 68.6% (n = 59/86). Sudden choking-like symptoms were present in 61/86 patients (70.9%), coughing in 81/86 patients (94.2%). Thoracic auscultation was positive in 67/86 cases (77.9%), chest X-ray in 75/86 patients (87.2%), while fluoroscopy only in 12/75 cases (16%). 92 bronchoscopies in 86 patients were performed. In 57 bronchoscopies, solid foreign body was found (66.2%) and the removal was successful in 56 cases. Thoracic auscultation was negative in patients with foreign body only in 6/57 cases (10.5%). In the same group, chest X-ray was negative in 33/57 cases (57.9%) and fluoroscopy was positive only in 12/57 patients (21.1%). Pneumonia or prolonged bronchitis was present in 4/86 patients (4.6%). Severe bronchial bleeding occurred in 2/86 cases (2.3%). Mortality was 1.2%, a child with severe co-morbidity and chronic aspiration passed away. Bronchoscopy was negative in 29/86 patients (33.7%). Complications were significantly higher in chronic cases than in the acute ones. Conclusion: Rigid bronchoscopy is indicated if solid foreign body aspiration is suspected and positive anamnesis, typical symptoms (coughing, choking) or positive chest auscultations are present. Diagnosis predominantly based on radiological finding is controversial due to the high possibility of false negative results. Early intervention within the first 24 hours is recommended to avoid complications. Orv Hetil. 2018; 159(51): 2162–2166.

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Bronchial Leech Infestation in a 15-Year-Old Female

Case Reports in Pediatrics ◽

10.1155/2016/2372686 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Mohammad Ashkan Moslehi ◽

Mohammad Hadi Imanieh ◽

Ali Adib

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Young Children ◽

Lower Lobe ◽

Foreign Body Aspiration ◽

Ground Glass ◽

Chest Computed Tomography ◽

X Ray ◽

Chest X Ray ◽

The Right

Foreign body aspiration (FBA) is a common incidence in young children. Leeches are rarely reported as FBA at any age. This study describes a 15-year-old female who presented with hemoptysis, hematemesis, coughs, melena, and anemia seven months prior to admission. Chest X-ray showed a round hyperdensity in the right lower lobe. A chest computed tomography (CT) demonstrated an area of consolidation and surrounding ground glass opacities in the right lower lobe. Hematological investigations revealed anemia. Finally, bronchoscopy was performed and a 5 cm leech was found within the rightB7-8bronchus and removed by forceps and a Dormia basket.

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Chest X-ray image classification for viral pneumonia and Сovid-19 using neural networks

Computer Optics ◽

10.18287/2412-6179-co-765 ◽

2021 ◽

Vol 45 (1) ◽

pp. 149-153

Author(s):

V.G. Efremtsev ◽

N.G. Efremtsev ◽

E.P. Teterin ◽

P.E. Teterin ◽

E.S. Bazavluk

Keyword(s):

Neural Networks ◽

Predictive Ability ◽

Diagnostic Methods ◽

Third Party ◽

Image Brightness ◽

Radiographic Images ◽

X Ray ◽

Complex Models ◽

Chest X Ray ◽

Selection Of

The use of neural networks to detect differences in radiographic images of patients with pneu-monia and COVID-19 is demonstrated. For the optimal selection of resize and neural network ar-chitecture parameters, hyperparameters, and adaptive image brightness adjustment, precision, recall, and f1-score metrics are used. The high values of these metrics of classification quality (> 0.91) strongly indicate a reliable difference between radiographic images of patients with pneumonia and patients with COVID-19, which opens up the possibility of creating a model with good predictive ability without involving ready-to-use complex models and without pre-training on third-party data, which is promising for the development of sensitive and reliable COVID-19 express-diagnostic methods.

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Ekstraksi Benda Asing pada Kavum Nasi Melalui Bronkoskopi

Jurnal Respirasi ◽

10.20473/jr.v4-i.2.2018.45-50 ◽

2018 ◽

Vol 4 (2) ◽

pp. 45

Author(s):

Isnu Pradjoko ◽

Chandra Jaya

Keyword(s):

Foreign Body ◽

Nasal Cavity ◽

Upper Airway ◽

The United States ◽

Foreign Body Aspiration ◽

Lower Airway ◽

X Ray ◽

Tracheobronchial Foreign Body ◽

Chest X Ray ◽

The Right

Background: Aspiration of a tracheobronchial foreign body is a serious and fatal event. Progress in terms of prevention, first aid, and endoscopic technology, caused a decline of almost 20% of deaths from foreign body aspiration that occurred in the United States. Statistically, the percentage of foreign body aspirations based on their respective location is: 5% hypopharynx, 12% larynx-trachea, and 83% bronchus. Most cases of foreign body aspiration occur in children aged <15 years old; about 75% of foreign body aspirations occur in children aged 1-3 years. The female-to-male ratio is 1.4:1. Case: A 11-year-old boy swallowed needles while playing flashlight about 2 hours before coming to Pulmonary Emergency Room of Dr. Soetomo General Hospital. Discussion: Chest X-ray examination found a shadow of metal density projected in the right lung. Fiber optic bronchoscopy (FOB) was performed for diagnostic and therapeutic indication to see the presence of a foreign body in the airway and remove the foreign body, but failed. When the needle was extracted, the patient coughed that the needle bounces to the supramaxilla area. FOB with nasal cavity approach successfully extracted the corpus alienum. Conclusion: Corpus alienum of airway sometimes is difficult to extract. FOB with nasal cavity approach can be done to manage corpus alienum in the upper airway that moved from lower airway when FOB was performed.

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Disk Battery Ingestion A Malpractice Case that Results in Pneumonia

The Bulletin of Legal Medicine ◽

10.17986/blm.2016323756 ◽

2016 ◽

Vol 21 (3) ◽

pp. 196-198 ◽

Cited By ~ 1

Author(s):

Cihat Şarkış ◽

Selçuk Yazıcı ◽

Muhammet Can

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Neck Trauma ◽

Private Hospitals ◽

Alkaline Batteries ◽

X Ray ◽

Clinical Impairment ◽

Chest X Ray ◽

Increasing Risk ◽

Swallowed Foreign Bodies

Alkaline batteries have become the second most swallowed foreign bodies following coins. Most cases have an uncomplicated course, but some may lead to serious complications and even death.Here we report a 28 months old boy who had experienced discomfort, eating refusal, vomiting and slightly wheezing after falling from a sofa bed. He has been in three different county hospitals and two private hospitals due to complaints, has been examined by two pediatricians and a cranial surgeon. A cranial CT imaging, a cranial X-ray radiograph and a chest X-ray radiograph was obtained. Firstly, diagnosed as head and neck trauma, then diagnosed as acute bronchiolitis, and finally pneumonia. Hospitalized twice. Finally, a chest radiograph revealed a button battery in the esophagus. The foreign body was endoscopic removed. The child had a quick clinical impairment after removal of the battery.As a result, alkaline batteries with their increasing risk of engulfment poses very serious problems. The parents and physicians should be informed against increasing frequency of ingestion of alkaline batteries by infants and children. Also, clinicians should be careful about the risk of these batteries that they can cause pneumonia and infiltration which may make it difficult to detect the foreign body.

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Clinical profile of tracheo-bronchial foreign body inhalation at tertiary care center

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203206 ◽

2020 ◽

Vol 6 (8) ◽

pp. 1520

Author(s):

Vivek Samor ◽

Vijay Kumar ◽

Deep Chand ◽

Gaurav Gupta ◽

Mamta . ◽

...

Keyword(s):

Foreign Body ◽

Early Recognition ◽

Main Bronchus ◽

Tertiary Care ◽

Clinical Profile ◽

Diagnostic Study ◽

Age Group ◽

X Ray ◽

Bronchial Foreign Body ◽

Chest X Ray

Background: Inhalation of foreign bodies can be life threatening and are common in paediatric age group with peak incidence in the age group of 1-3 years. The objectives were to study the clinical profile of foreign body (FB) inhalation and to study the complications of tracheo-bronchial foreign body and rigid bronchoscopy.Methods: A cross-sectional hospital based diagnostic study conducted for 1 year, done on 50 patients with FB inhalation, included consecutively in study after obtaining informed consent. Patients were assessed and interviewed for socio demographic details and examined using chest X-ray PA view, routine investigations and pre-anaesthetic evaluation. After all investigations a diagnostic bronchoscopy under general anaesthesia was performed to extract the foreign body. Data were analyzed through tables and diagrams and appropriate test of significance by Epi Info software. Results: Total 50 FB inhalation cases (up to 10 years) in which 40% presented within 5 days to 2 weeks after inhalation. 92% were presents with cough and on chest examination 88% found to had decreased air entry, 72% presents with decreased movement and dull percussion on affected side. 70% of patients had abnormal chest X-ray finding. Foreign body found were groundnut (44%) followed by supari (32%) mostly in right main bronchus. We observed 10% patients with pneumonia, 4% had granuloma and 2% had bronchospasm.Conclusions: Prevention is best, but early recognition remains a critical factor in the treatment of FB inhalation in children.

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Radiological diagnosis of aspirated foreign bodies in children: Review of 343 cases

The Journal of Laryngology & Otology ◽

10.1017/s0022215100113891 ◽

1990 ◽

Vol 104 (10) ◽

pp. 778-782 ◽

Cited By ~ 95

Author(s):

Liancai Mu ◽

Deqiang Sun ◽

Ping He

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Correct Diagnosis ◽

X Rays ◽

Endoscopic Removal ◽

X Ray ◽

Abnormal Chest ◽

Mediastinal Shift ◽

Plain Chest ◽

Chest X Ray

AbstractIn our series of 400 Chinese children with foreign body aspiration (FBA),343 cases were evaluated by fluoroscopy and/or plain chest X-rays before endoscopic removal of the foreign bodies. The majority of the foreign bodies (FBs) were organic (378/400, 94.5 per cent). The results showed that mainstem bronchial foreign bodies were diagnosed correctly in 68 per centof cases compared with 65 per cent correct diagnoses with segmental bronchial foreign bodies, but only 22 per cent correct diagnoses with tracheal, and 0 per cent correct diagnosis in those with laryngeal foreign bodies. Eighty per cent (32/40) of the children with laryngotracheal FBs had normal X-ray findings, whereas 67.7 per cent (205/303) of the children with bronchial FBs had abnormal chest X-ray findings. The most common positive radiological signs in the children with tracheobronchial FBs were obstructive emphysema (131/213, 62 per cent) and mediastinal shift (117/213, 55 percent). The incidence of major complications was related not only to the size of the foreign body and its location but also the duration since aspiration. The most common types of bronchial obstructions by airway FBs are discussed.

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