ENDOSCOPIC MANAGEMENT OF PIN STUCK INTO THE SEGMENTAL BRONCHUS

Abstract Background Removal of an airway foreign body is challenging to anesthesiologists. We report successful removal of an extremely rare foreign body between a tracheal tube and the trachea in patients under tracheal intubation. Case presentation A 57-year-old male received total aortic arch replacement and postoperative mechanical ventilation. An airway foreign body was detected just below the glottis, outside the tracheal tube during mechanical ventilation after surgery in the intensive care unit. Before the removal procedure, we planned multiple strategies to cope with unexpected airway and breathing troubles. As a result, the foreign body was successfully removed orally by using a bronchial fiber, without extubation of the tracheal tube, under general anesthesia with dexmedetomidine and ketamine. Conclusions We reported the successful removal of a foreign body in the subglottic airway of a patient under tracheal intubation.

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Airway Foreign Body Mimicking an Endobronchial Tumor Presenting with Pneumothorax in an Adult: A Case Report

Medicina ◽

10.3390/medicina57010050 ◽

2021 ◽

Vol 57 (1) ◽

pp. 50

Author(s):

Jun-Ho Ha ◽

Byeong-Ho Jeong

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Chest Tube ◽

Biopsy Forceps ◽

Chest Computed Tomography ◽

Contrast Enhanced ◽

Lobar Bronchus ◽

Green Pea ◽

Airway Foreign Body ◽

The Right

Foreign body (FB) aspiration occurs less frequently in adults than in children. Among the complications related to FB aspiration, pneumothorax is rarely reported in adults. Although the majority of FB aspiration cases can be diagnosed easily and accurately by using radiographs and bronchoscopy, some patients are misdiagnosed with endobronchial tumors. We describe a case of airway FB that mimicked an endobronchial tumor presenting with pneumothorax in an adult. A 77-year-old man was referred to our hospital due to pneumothorax and atelectasis of the right upper lobe caused by an endobronchial nodule. A chest tube was immediately inserted to decompress the pneumothorax. Chest computed tomography with contrast revealed an endobronchial nodule that was seen as contrast-enhanced. Flexible bronchoscopy was performed to biopsy the nodule. The bronchoscopy showed a yellow spherical nodule in the right upper lobar bronchus. Rat tooth forceps were used, because the lesion was too slippery to grasp with ellipsoid cup biopsy forceps. The whole nodule was extracted and was confirmed to be a FB, which was determined to be a green pea vegetable. After the procedure, the chest tube was removed, and the patient was discharged without any complications. This case highlights the importance of suspecting a FB as a cause of pneumothorax and presents the possibility of misdiagnosing an aspirated FB as an endobronchial tumor and selecting the appropriate instrument for removing an endobronchial FB.

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Catheter‐Guided Basket Removal of a Difficult‐to‐Reach Pediatric Airway Foreign Body

The Laryngoscope ◽

10.1002/lary.29523 ◽

2021 ◽

Author(s):

Alexander Gabinet‐Equihua ◽

Sharon L. Cushing ◽

Evan J. Propst ◽

Nan Gai ◽

Nikolaus E. Wolter

Keyword(s):

Foreign Body ◽

Pediatric Airway ◽

Airway Foreign Body

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Sa1232 Endoscopic Management of Foreign Body Ingestion and Food Bolus Impactation: Experience of a Single Referral Center in Brazil

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2017.03.469 ◽

2017 ◽

Vol 85 (5) ◽

pp. AB211

Author(s):

Simone L. Moreira ◽

Carla L. Aluizio ◽

Danielle P. Sampaio ◽

Cristiane k. Nagasako ◽

Maria de Fatima C. Servidoni ◽

...

Keyword(s):

Foreign Body ◽

Foreign Body Ingestion ◽

Endoscopic Management ◽

Food Bolus ◽

Referral Center

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Endoscopic Management of Frontal Sinus Osteomas Revisited

American Journal of Rhinology and Allergy ◽

10.2500/ajra.2009.23.3321 ◽

2009 ◽

Vol 23 (3) ◽

pp. 331-336 ◽

Cited By ~ 48

Author(s):

Kristin Seiberling ◽

Steve Floreani ◽

Simon Robinson ◽

Peter-John Wormald

Keyword(s):

Endoscopic Resection ◽

Frontal Sinus ◽

Ct Scans ◽

Endoscopic Management ◽

Grading System ◽

Tumor Removal ◽

Successful Removal ◽

Grade Iii

Background Recent articles have published guidelines regarding the role of endoscopic surgery in the removal of frontal sinus osteomas. These guidelines recommend the endoscopic approach for small osteomas but recommend an osteoplastic flap for larger tumors. This study presents a series of endoscopically resected tumors both large and small. Methods Retrospective chart reviews were performed. Charts were reviewed of all patients who underwent surgical resection of a frontal sinus osteoma from 1998 to 2008. Sinus CT scans were reviewed and each tumor was staged according to Kennedy's grading system proposed in 2005. Results Twenty-three patients, 8 with a grade IV tumor, 6 with a grade III tumor, and the remaining with a grade I or II tumor, underwent endoscopic resection of a frontal sinus osteoma. In 15 patients a modified Lothrop procedure was performed for tumor removal. In addition, a blepharoplasty incision was used in one patient for removal of a large orbital extension of the tumor and another underwent an enlarged frontal sinus trephine performed via a browline incision. In the remaining patients a frontal sinusotomy with minitrephination provided enough access for tumor removal. Over an average follow-up of 36 months no recurrences were noted. Symptoms improved in all but one patient. There were no postoperative complications. Conclusion Endoscopic resection of both large and small frontal sinus osteomas is feasible. In this article we have shown successful removal of large osteomas that fill the entire frontal sinus with the modified Lothrop procedure.

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Rare iatrogenic airway foreign body: The rivet from the fulcrum of the McCoy laryngoscope blade

Indian Journal of Anaesthesia ◽

10.4103/0019-5049.98784 ◽

2012 ◽

Vol 56 (3) ◽

pp. 301 ◽

Cited By ~ 1

Author(s):

Manish Naithani ◽

Pankaj Sharma ◽

Alpna Jain ◽

Zainab Chaudhary

Keyword(s):

Foreign Body ◽

Laryngoscope Blade ◽

Airway Foreign Body

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The importance of technical skills assessment during an airway foreign body removal course

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2018.11.007 ◽

2019 ◽

Vol 117 ◽

pp. 1-5

Author(s):

Mason Hinchcliff ◽

Michael Kao ◽

Kaalan Johnson

Keyword(s):

Foreign Body ◽

Technical Skills ◽

Skills Assessment ◽

Foreign Body Removal ◽

Technical Skills Assessment ◽

Airway Foreign Body

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Endoscopic management of foreign bodies in the upper gastrointestinal tract

International Surgery Journal ◽

10.18203/2349-2902.isj20174105 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3277

Author(s):

Pramod Mirji ◽

Vikas Daddenavar ◽

Eshwar Kalburgi

Keyword(s):

Gastrointestinal Tract ◽

Foreign Body ◽

Foreign Bodies ◽

Flexible Endoscopy ◽

Definitive Treatment ◽

Endoscopic Management ◽

Food Bolus Impaction ◽

Bolus Impaction ◽

Age Range ◽

Upper Gastrointestinal

Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years’ experience in dealing with foreign bodies in the upper gastrointestinal tract.Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome.Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period.Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

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