scholarly journals It was inhaled not swallowed-Neglected 5 month foreign body airway

2019 ◽  
Vol 18 (4) ◽  
pp. 820-822
Author(s):  
Senthilraj R ◽  
Amarpreet S ◽  
Periyathamby S ◽  
Nik Hassan NFH
Keyword(s):  
Foreign Body ◽  
Medical Science ◽  
Foreign Body Aspiration ◽  
Foreign Body Ingestion ◽  
High Morbidity ◽  
Radiolucent Foreign Body ◽  
The Right

A delayed detection of foreign body airway implicated high morbidity. The longer duration of the foreign body in the lung can lead to a more sinister complication. A radiolucent foreign body, non organic foreign body and unwitnessed foreign body ingestion contribute significantly to the delay in the diagnosis of foreign body aspiration. We report a case of an undiagnosed radio opaque foreign body in the right bronchus for five months in a 8-year-old child, which the onset of foreign body ingestion was witnessed by parents. Eventually he presented with pneumonia and atelectasis. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.820-822

scholarly journals Bronchial Leech Infestation in a 15-Year-Old Female

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.

Predictors of radiolucent foreign body aspiration

2013 ◽  
Vol 48 (9) ◽  
pp. 1867-1870 ◽  
Author(s):  
Vincent E. Mortellaro ◽  
Corey Iqbal ◽  
Roxanna Fu ◽  
Heather Curtis ◽  
Frankie B. Fike ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Radiolucent Foreign Body

scholarly journals Foreign Body Aspiration in Northern Ghana: A Review of Pediatric Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Theophilus Adjeso ◽  
Michael Chanalu Damah ◽  
James Patrick Murphy ◽  
Theophilus Teddy Kojo Anyomih
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Foreign Body Aspiration ◽  
Northern Ghana ◽  
Emergency Tracheostomy ◽  
Body Location ◽  
The Right ◽  
High Index Of Suspicion ◽  
Tamale Teaching Hospital ◽  
Nose And Throat

Background. Foreign body (FB) aspiration requires a high index of suspicion for diagnosis and prompt management to avoid morbidity and mortality. This retrospective study was conducted to review pediatric foreign body aspiration at the Ear, Nose and Throat (ENT) Unit of the Tamale Teaching Hospital (TTH). Materials and Methods. The theater records of children managed for foreign body aspiration from January 2010 to December 2016 at the ENT Unit of TTH were retrieved and data summarized with respect to age, gender, indications for bronchoscopy, nature of foreign body, location of foreign body, and outcome of the bronchoscopy procedure. Results. A total of 33 children were managed within the five-year study period and comprised 16 (48.5%) males and 17 (51.5%) females. The commonly aspirated FBs were groundnuts (13, 39.4%) and metallic objects (7, 21.1%). The peak incidence occurred in children aged ≤ 3 years. The foreign bodies (FBs) were commonly localized to the right (24.2%) and left (24.2%) main bronchi, respectively. One patient had emergency tracheostomy for failed bronchoscopy. Conclusion. Groundnuts were the most commonly aspirated foreign body with most of the FBs localized in the bronchi.

scholarly journals Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Ekstraksi Benda Asing pada Kavum Nasi Melalui Bronkoskopi

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.

scholarly journals A Radiolucent Foreign Body Ingestion as a Cause of Acute Dysphagia

2018 ◽  
Vol 17 (3) ◽  
pp. 515-517
Author(s):  
Nurul Syeha Abdull Rasid ◽  
Irfan Mohamad ◽  
Norasnieda Md Shukri
Keyword(s):  
Foreign Body ◽  
Oral Cavity ◽  
Standard Treatment ◽  
Surgical Intervention ◽  
Medical Science ◽  
Medical Attention ◽  
Contributing Factors ◽  
Rigid Esophagoscopy ◽  
Radiolucent Foreign Body ◽  
Acute Dysphagia

Foreign body denture is common among edentulous adults because of decrease the sensitivity of the oral cavity. Carelessness in handling dentures and failure to seek early medical attention even the denture has broken are among the contributing factors. Persistence of symptoms with normal radiograph findings still require further actions which include surgical intervention. Rigid esophagoscopy remain as standard treatment modality for removal of foreign body.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.515-517

scholarly journals Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 69-74
Author(s):  
Danijela Dragicevic ◽  
Ljiljana Jovancevic ◽  
Rajko Jovic ◽  
Ljiljana Vlaski ◽  
Bojan Bozic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Age Groups ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Radiological Findings ◽  
Tracheobronchial Foreign Body ◽  
The Moment ◽  
The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

scholarly journals Case report of recurring pneumonia due to unusual foreign body aspiration in the airway

Medwave ◽  
2021 ◽  
Vol 21 (02) ◽  
pp. e8136-e8136
Author(s):  
Luis Alejandro Rodríguez Hidalgo ◽  
Luis Alberto Concepción-Urteaga ◽  
Julio Hilario-Vargas ◽  
Jorge Luis Cornejo-Portella ◽  
Diana Cecilia Ruiz-Caballero ◽  
...  
Keyword(s):  
Foreign Body ◽  
Granulation Tissue ◽  
Chronic Alcoholism ◽  
Foreign Body Aspiration ◽  
Axial Tomography ◽  
Unusual Foreign Body ◽  
Segmental Bronchus ◽  
Female Smoker ◽  
Patient Reported ◽  
The Right

Foreign body aspiration is a rare but life-threatening event. Most accidental aspiration events occur in children. In adults, it can represent up to 25% of cases. Bronchoscopy remains the gold standard for diagnosing and treating foreign body aspiration from the lower respiratory tract. A 63-year-old female smoker with a history of chronic alcoholism and exposure to pyrotechnic smoke presented a productive cough, with whitish expectoration, dyspnea and pleuritic chest pain on the right side. On chest X-ray, she presented opacity in 2/3 of the right hemithorax. Computed axial tomography revealed consolidation with an air bronchogram on the right hemithorax, cylindrical bronchiectasis, ground glass pattern and centrilobular nodules. Bronchoscopic examination revealed a foreign body covered with granulation tissue in the right segmental bronchus (B6). The granulation tissue was integrated into the foreign body. In a second attempt, the foreign body could be removed, which was of bone consistency, seemingly a bird bone, confirmed by pathological anatomy results. After further questioning, the patient reported that two years before, she had choked when eating chicken. She had a cough and an episode of hemoptysis, but she chose not to ask for medical advice.

scholarly journals Tracheobronchial Foreign Body Aspiration Diagnosed with Electrical Impedance Tomography

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Robert D. Guglielmo ◽  
Robinder G. Khemani
Keyword(s):  
Foreign Body ◽  
Early Diagnosis ◽  
Electrical Impedance Tomography ◽  
Electrical Impedance ◽  
Left Lung ◽  
Lung Ventilation ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
High Morbidity ◽  
Impedance Tomography

Background. Foreign body aspiration (FBA) in children has a high morbidity, and early diagnosis is the key for preventing acute and chronic respiratory complications. To diagnose FBA, commonly used imaging modalities have limited negative predictive value, and rigid bronchoscopy remains as the gold standard. We present a case where the diagnosis of FBA was made in a novel way with electrical impedance tomography (EIT). Case Presentation. A 19-month-old previously healthy boy was admitted with a clinical diagnosis of respiratory failure secondary to bronchiolitis. Chest X-ray showed bilateral lung hyperinflation. He enrolled in a research study which used EIT to measure the effects of high flow nasal cannula (HFNC) on minute ventilation in children with bronchiolitis. On initiation, the patient had near-normal right lung ventilation (98%) and near-absent left lung ventilation (2%). We discontinued the study and alerted the medical team that we suspected FBA. Further imaging (lateral decubitus films and lung ultrasounds) was also obtained, but was not diagnostic. Rigid bronchoscopy was performed and showed a peanut occluding the left mainstem bronchus (LMB). The peanut was removed followed by complete resolution of the patient’s symptoms. Conclusions. We believe this is the first reported case of FBA diagnosed via EIT. EIT has been shown to be a useful but underutilized technology for diagnosing respiratory disease. While FBA remains a relatively common cause of morbidity and mortality in children less than age four, early diagnosis remains difficult and requires vigilance. This case illustrates the challenges of relying on chest films and ultrasound to assist with diagnosis and suggests that EIT in combination with a thorough history and physical exam can be used to confirm the presence of FBA.

scholarly journals Frequency of Foreign Body Bronchus in Patients with Pneumothorax

2021 ◽  
Vol 15 (7) ◽  
pp. 1798-1800
Author(s):  
Najam-ud- Din ◽  
Basher Ahmed ◽  
Abdul Manan Khan
Keyword(s):  
Body Mass Index ◽  
Foreign Body ◽  
Body Mass ◽  
Main Bronchus ◽  
Major Complication ◽  
Foreign Body Aspiration ◽  
Time Interval ◽  
Cross Sectional ◽  
Foreign Body Bronchus ◽  
The Right

Aim: To determine the frequency of airways foreign body bronchus in children pneumothorax. Study Design: Cross-sectional/descriptive study Place and Duration of Study: Department of Thoracic Surgery, Sandeman Provincial Hospital Quetta from 1st January 2020 to 31st December 2020. Methodology: Forty five patients of both genders and aged between 1 to 15 years were enrolled. Patients details demographics age, gender, residence and body mass index were recorded after taking informed consent. Chest computed tomography and X-ray to bronchus were performed to examine the nature and site of foreign body. Bronchoscopy was performed and outcomes were analyzed. Results: There were 30 (66.67%) males and 15 (33.33%) females. Majority of patients 27 (60%) were ages <6 years. Mean body mass index was 12.08±6.33 kg/m2. Mean time interval between foreign body aspiration and admitted to hospital was 4.08±2.08days. Foreign body bronchus was found in 14 (31.11%) patients. The right main bronchus was the most common site in 9 (64.28%) followed by left bronchus in 5(35.71%).Most common foreign body retrieved was seeds found in 9 (64.28%), piece of plastic in 3 (21.43%), peanut in 1 (7.14%) and nuts in 1 (7.14%) patients respectively. Bronchoscopy performed in 14 patients and none of patients had developed any complication. Conclusion: Foreign body bronchus was found in 31.11% patients presented with pneumothorax and most common foreign body aspiration was seeds. Bronchoscopy was safe and effective with no major complication. Keywords: Children, Foreign body aspiration, Bronchus, Pneumonia

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