Rigid Bronchoscopy and Jet Ventilation in Foreign Body Aspiration in A Two-Year-Old Female: A Case Report

Introduction: Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis. Case Report: 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed. Conclusions: A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.

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Pill in the left bronchus-pediatric foreign body aspiration: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180736 ◽

2018 ◽

Vol 4 (2) ◽

pp. 600

Author(s):

Raghul Sekar ◽

Karthikeyan Ramasamy ◽

Hegde Jyotirmay ◽

Arun Alexander ◽

Sunil Kumar Saxena

Keyword(s):

Computed Tomography ◽

Case Report ◽

Foreign Body ◽

Pediatric Population ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Mortality And Morbidity ◽

Left Bronchus

Pediatric population is more prone for accidents such as foreign body aspiration. It is an important and preventable cause of mortality and morbidity in children. Pill aspiration is one of the rare causes foreign body aspiration in both children and adults. History is crucial and can guide treatment in case of foreign body aspiration. We present a 5 year old child who had history and examination suggestive of pneumonia which turned out to be a foreign body in left bronchus on computed tomography. The foreign body was a half broken tablet of Co-trimoxazole removed by rigid bronchoscopy without any complication. The child’s symptoms improved satisfactorily following removal.

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Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

Journal of Agromedicine and Medical Sciences ◽

10.19184/ams.v7i3.24494 ◽

2021 ◽

Vol 7 (3) ◽

pp. 125

Author(s):

Wahyu Julianda ◽

Ade Asyari

Keyword(s):

Case Report ◽

Foreign Body ◽

Thoracic Surgery ◽

Foreign Bodies ◽

Lower Lobe ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

X Ray ◽

Video Assisted Thoracic Surgery ◽

Chest X Ray

Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy. Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy

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Blood cast of the left bronchial tree caused by foreign body aspiration in a 12-year-old boy

10.22541/au.161609748.87019891/v1 ◽

2021 ◽

Author(s):

Yu Liu ◽

Jinbo Ning

Keyword(s):

Case Report ◽

Foreign Body ◽

Bronchial Tree ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration

This is a case report describing a rare condition.A 12-year-old boy had a blood cast of the left bronchial tree from bronchial hemorrhage caused by respiratory foreign body.He underwent rigid bronchoscopy and cast removal.

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Light Emitting Diode (LED) Bulb Aspiration in Northern Ghana: A Case Report and Literature Review

International Journal of Medical and Pharmaceutical Case Reports ◽

10.9734/ijmpcr/2020/v13i230119 ◽

2020 ◽

pp. 26-29

Author(s):

Theophilus Adjeso ◽

Adamu Issaka

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Foreign Body ◽

Literature Review ◽

Light Emitting Diode ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Northern Ghana ◽

Light Emitting ◽

History Of

Light emitting diode (LED) bulb is an unusual cause of foreign body aspiration. We present a case of a 6-year-old boy who reported with a four-day history of difficulty in breathing and cough following a LED bulb aspiration retrieved via rigid bronchoscopy. This present case suggests that LED bulb should be considered in the differential diagnosis of foreign body aspirations in our environment.

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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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Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors

BMC Surgery ◽

10.1186/s12893-021-01089-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Weigang Gan ◽

Ning Xiao ◽

Yiyuan Feng ◽

Danmei Zhou ◽

Juanjuan Hu ◽

...

Keyword(s):

Foreign Body ◽

Pediatric Patients ◽

Treatment Delay ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

External Factors ◽

Factors Affecting ◽

Intrinsic Factors ◽

Common Location ◽

Tracheobronchial Foreign Body

Abstract Background Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. Methods We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. Results The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ2 = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. Conclusion Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality.

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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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Rigid ventilating video bronchoscope with forceps for bronchoscopic foreign body removal in children

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192746 ◽

2019 ◽

Vol 5 (4) ◽

pp. 1129

Author(s):

Sagar Jawale ◽

Parthapratim Gupta ◽

Bharti Kulkarni

Keyword(s):

Foreign Body ◽

Gold Standard ◽

Medical Literature ◽

Rigid Bronchoscopy ◽

Foreign Body Aspiration ◽

Indian Children ◽

Foreign Body Removal ◽

Rigid Tube ◽

Pass Through ◽

First Time

Bronchoscopic foreign body removal is a potentially dangerous and challenging procedure in pediatric surgery. bronchoscopy under general anaesthesia is the gold standard of diagnosis and management of foreign body aspiration. A large ventilating channel and better control over the tip of the instrument and cheaper instrument are the merits of rigid bronchoscopy over flexible one. Traditionally a rigid tube alone is used for this purpose which has extreme limitations of vision and it is risky. Foreign body aspiration typically occurs in 6 to 18 month age and the size of glottis is very small at this age. In Indian children who are small and malnourished the large assembly of sheath and telescope mounted forceps does not pass through the glottis. To overcome the limitations of the traditional equipment I designed my own bronchoscopy equipment by my 15 year of experience in bronchoscopy. This type of device is reported for the first time in medical literature and patent is filed for it at Mumbai office.

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