An Unusual Case of Foreign Body Aspiration: A Case Report

Foreign body aspiration most commonly affects young children, with respiratory symptoms such as wheeze and cough after a choking episode. A careful history and clinical examination can identify those children that need additional investigation including bronchoscopy. However foreign body aspiration can mimic other conditions. The link between choking and subsequent symptoms may not be made by parents. We present a case with a delay in diagnosis, and discuss the appropriate management of suspected foreign body aspiration.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 47-49

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Foreign body aspiration in an 11-month-old child; the importance of anamnesis and respiratory examination

Journal of Pediatrics & Neonatal Care ◽

10.15406/jpnc.2020.10.00429 ◽

2020 ◽

Vol 10 (6) ◽

pp. 156-157

Author(s):

Muhammet Mesut Nezir ENGİN ◽

Fatih ERDOĞAN ◽

Özlem KÜÇÜK ◽

Murat KAYA

Keyword(s):

Emergency Department ◽

Case Report ◽

Foreign Body ◽

Respiratory Distress ◽

Mortality Rates ◽

Pediatric Emergency ◽

Foreign Body Aspiration ◽

Morbidity And Mortality ◽

Pediatric Emergency Department ◽

Delay In Diagnosis

Foreign body aspiration (FBA) is common in children. Especially in children, the majority of accidental deaths occur due to FBA. Morbidity and mortality rates increase, especially in children between the ages of one and four, and as a result of delay in diagnosis. The most common symptoms in patients with FBA are cough, dyspnea, hemoptysis, stridor and wheezing. In this case report, a patient who presented with sudden respiratory distress in the Pediatric Emergency Department was presented and the importance of anamnesis and respiratory examination in the diagnosis of FBA was emphasized.

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Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20194925 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1552

Author(s):

Kunzes Dolma ◽

Anchal Gupta ◽

Apurab Gupta ◽

Padam Singh Jamwal

Keyword(s):

Foreign Body ◽

Clinical Examination ◽

Foreign Bodies ◽

Standard Procedure ◽

Neck Surgery ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Female Ratio ◽

Mortality And Morbidity ◽

Delay In Diagnosis

Background: The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.Methods: The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied. Results: The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.Conclusions: History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies.

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Subglottic Chicken Bone in a Five Months old Baby

Journal of Nepal Medical Association ◽

10.31729/jnma.239 ◽

2009 ◽

Vol 48 (174) ◽

pp. 170-2

Author(s):

Sanjay Prakash ◽

C L Bhusal ◽

K Acharya ◽

B K Sinha

Keyword(s):

Foreign Body ◽

Young Children ◽

Respiratory Symptoms ◽

Foreign Body Aspiration ◽

Chicken Bone ◽

Air Passage

Foreign body aspiration most commonly affects young children,with respiratory symptoms such as wheeze and cough after a chokingepisode. When the foreign body is fi rst inhaled as per witnessed by the parents or caregiver there is always choking or gaging episode, followed by a coughing spell. The absence of a cough strongly rules out the possibility of foreign body having entered the air passage. Here we report a case of chicken bone inhaled as foreign body in a fi ve months old baby.Key Words: bone, chicken, subglottic

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Multiple foreign body aspiration: a case report

Pediatria i Medycyna Rodzinna ◽

10.15557/pimr.2020.0060 ◽

2020 ◽

Vol 16 (3) ◽

pp. 325-328

Author(s):

Aranjit Singh Randhawa ◽

◽

Norhafiza Mat Lazim ◽

Khairul Bariah Noh ◽

Irfan Mohamad ◽

...

Keyword(s):

Case Report ◽

Foreign Body ◽

Tracheobronchial Tree ◽

Foreign Body Aspiration ◽

High Morbidity ◽

Age Group ◽

Delay In Diagnosis ◽

Cardiopulmonary Complications ◽

Paediatric Age ◽

Group A

Foreign body in the tracheobronchial tree is an emergency commonly affecting the paediatric age group. A delay in diagnosis and removal may cause high morbidity and mortality. We report a case of a 1-year-6-month-old presenting with multiple peanuts aspirated into both lungs, ultimately resulting in death due to cardiopulmonary complications. The aim of the case report is to highlight the importance of thorough history-taking from parents, intraoperative suspicion of more than a single aspirated foreign body, and meticulous measurements taken to minimise extraction time.

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Prospective evaluation of tracheobronchial foreign bodies

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203198 ◽

2020 ◽

Vol 6 (8) ◽

pp. 1474

Author(s):

Ihsan A. T. ◽

Divya Ambooken

Keyword(s):

Foreign Body ◽

Young Children ◽

Parent Education ◽

Foreign Bodies ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Age Group ◽

Common Site ◽

Medical College ◽

High Chance

Background: Foreign body aspiration is a condition that requires immediate and prompt management to avoid complications. Aim of this study was to find out proportion of tracheobronchial foreign bodies in under five age group, common sites of foreign body lodgement, types of tracheobronchial foreign bodies, and complications associated with this.Methods: This study was conducted in Department of ENT at Jubilee Mission Medical College and RI, Thrissur, during the period of January 2018 to June 2019 and comprises 24 cases. Rigid bronchoscopy under general anesthesia was done to remove these foreign bodies. Results: Eighteen cases were in under 5 age group. Peanut was the most common foreign body aspirated followed by badam and vegetable seeds. Common site of lodgement was in bronchi with 10 cases in right bronchi and 9 cases in left bronchi. Complication seen associated with this was pneumonia in this study.Conclusions: Foreign body aspiration is common in young children and hence a positive history might be absent. Hence there is high chance of misdiagnosis and complications. Parent education is must and avoid giving ungrinded nuts to young children.

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Diagnostic confusion in paediatric respiratory pathology. Case report

ORL ro ◽

10.26416/orl.30.1.2016.652 ◽

2016 ◽

Vol 1 (1) ◽

pp. 48-50

Author(s):

Adina A. Zamfir-Chiru-Anton ◽

D.C. Gheorghe

Keyword(s):

Case Report ◽

Foreign Body ◽

Clinical Picture ◽

Foreign Body Aspiration ◽

Effective Therapy ◽

Partial Loss ◽

Detailed History ◽

Therapy Approach ◽

Diagnostic Confusion ◽

Respiratory Pathology

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.

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Pneumopericardium after Foreign Body Aspiration: A Case Report

New Emirates Medical Journal ◽

10.2174/0250688201901010004 ◽

2020 ◽

Vol 1 (1) ◽

pp. 4-6

Author(s):

Abdelgalil Ragab ◽

Tarek Al Salhani ◽

Sallam Taha ◽

Eyad Darraj ◽

Kamal Moustafa

Keyword(s):

Case Report ◽

Foreign Body ◽

Foreign Body Aspiration ◽

Sharp Foreign Body

A case of spontaneous pneumopericardium occurred in the patient after the aspiration of no sharp foreign body. The patient was sent to Operation Theater (OT), bronchoscopic extraction of the foreign body was performed, and the patient was stable postoperatively. Serial follow up X-rayswere done and showed resolving of the pneumopericardium.

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Acquired tracheo-oesophageal fistula in a child with unrecognised tracheal foreign body

BMJ Case Reports ◽

10.1136/bcr-2020-240947 ◽

2021 ◽

Vol 14 (4) ◽

pp. e240947

Author(s):

Kanokpan Ruangnapa ◽

Wanaporn Anuntaseree ◽

Kantara Saelim ◽

Pharsai Prasertsan

Keyword(s):

Foreign Body ◽

Young Children ◽

Respiratory Symptoms ◽

Growth Failure ◽

Late Diagnosis ◽

Feeding Intolerance ◽

Recurrent Pneumonia ◽

High Index Of Suspicion ◽

Careful Investigation

We report the case of a 6-month-old girl who presented with recurrent pneumonia and growth failure. After full examination, she was diagnosed with long-standing, unrecognised tracheal foreign body, which was then successfully removed. However, her chronic respiratory symptoms did not improve, and she also had feeding intolerance. The persistence of symptoms indicated a second bronchoscopy and finally an acquired tracheo-oesophageal fistula was diagnosed. This case emphasises the challenges in diagnosis of an inhaled foreign body in young children. Late diagnosis of this condition can cause significant morbidities. A high index of suspicion and careful investigation are very important to prevent long-term complications.

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