1887
Volume 2021, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Tracheobronchial foreign body aspiration (TB-FBA) with subsequent airway obstruction typically occurs in children younger than 4 years. TB-FBA results in significant morbidity and mortality in children requiring urgent recognition and prompt management. Some cases remain more indolent and cause unusual respiratory insults ranging from chronic respiratory symptoms such as persistent cough, wheezing, and recurrent pneumonia to life-threatening airway obstruction. This case report presents a rare case of TB-FBA in an 8-year-old girl with a prolonged history of cough and dyspnea for 15 months despite many medical treatments and a rigid bronchoscopy examination performed by a board-certified pediatric surgeon. The patient was referred to Namazi Hospital's Pediatric Interventional Pulmonology Division where fiberoptic bronchoscopic exploration was conducted to remove a foreign body (a 6-cm wheat cluster) from the right lower lobe bronchus. This case report demonstrates the importance of clinical history in the diagnosis of aspirated foreign bodies despite unusual age and normal radiological findings.

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2021-02-22
2021-04-17
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References

  1. Grassi R, Faggian A, Somma F, De Cecco CN, Laghi A, Caseiro-Alves F. Application of imaging guidelines in patients with foreign body ingestion or inhalation: literature review. Semin Ultrasound CT MR. 2015; 36:(1):48–56.
    [Google Scholar]
  2. Lewis C, Hsu HK, Hoover E. Aspiration of foreign bodies in adults with personality disorders: impact on diagnosis and recurrence. J Natl Med Assoc. 2011; 103:(7):620–622.
    [Google Scholar]
  3. Hitter A, Hullo E, Durand C, Righini CA. Diagnostic value of various investigations in children with suspected foreign body aspiration: review. Eur Ann Otorhinolaryngol Head Neck Dis. 2011; 128:(5):248–252.
    [Google Scholar]
  4. van Schuppen J, van Rijn R. Foreign body aspiration in children: evidence-based emergency imaging. In: Evidence-Based Emergency Imaging 1st ed. Cham: Springer; 2018. p. 605–614.
    [Google Scholar]
  5. Samarei R. Survey of foreign body aspiration in airways and lungs. Glob J Health Sci. 2014; 6:(7):130–135.
    [Google Scholar]
  6. Aslan N, Yıldızdas¸ D, Özden Ö, Yöntem A, Horoz ÖÖ, Kılıç S. Evaluation of foreign body aspiration cases in our pediatric intensive care unit: Single-center experience. Turk Pediatri Arsivi. 2019; 54:(1):44–48.
    [Google Scholar]
  7. Yang YH, Zhang XG, Zhang JL, Zhang YB, Kou CP. Risk factors for preoperative respiratory complications in children with tracheobronchial foreign bodies. Int J Med Res. 2016; 44:(2):338–345.
    [Google Scholar]
  8. Moslehi MA. Approach to foreign body aspiration in an infant using a cryoprobe. Respir Case Rep. 2020; 9:(1):4–7.
    [Google Scholar]
  9. Eyekpegha OJ, Onakpoya UU, Obiajunwa PO, Famurewa OC, Ogunrombi AB. Missed distal tracheal foreign body in consecutive bronchoscopies in a 6-year-old boy. Niger J Surg. 2017; 23:(1):67–70.
    [Google Scholar]
  10. Goussard P, Mfingwana L, Morrison J. Removal of distal airway foreign body with the help of fluoroscopy in a child. Pediatr Pulmonol. 2020; 55:(3):E5–E7.
    [Google Scholar]
  11. Mahmud T, Shafiq A, Hafeez A, Saqib M, Farooq S. Sewing machine needle retrieval from distal airways using flexible bronchoscope under fluoroscopy. Respir Med Case Rep. 2016;19:132–134.
    [Google Scholar]
  12. Laya BF, Restrepo R, Lee EY. Practical imaging evaluation of foreign bodies in children. Radiol Clin N Am. 2017; 55:(4):845–867.
    [Google Scholar]
  13. Yang C, Hua R, Xu K, Hua X, Ma P, Zheng JN, et al. The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children. Eur Rev Med Pharmacol Sci. 2015; 19:(2):265–273.
    [Google Scholar]
  14. Xu Y, Feng RL, Jiang L, Ren HB, Li Q. Correlative factors for the location of tracheobronchial foreign bodies in infants and children. J Thorac Dis. 2018; 10:(2):1037–1042.
    [Google Scholar]
  15. Can D, Yilmaz O, Asilsoy S, Gulle S, Yuksel H. Aspiration of foreign bodies that allow air passage through. Open J Pediatr. 2011; 1:(4):90–93.
    [Google Scholar]
  16. Daines CL, Wood RE, Boesch RP. Foreign body aspiration: an important etiology of respiratory symptoms in children. J Allergy Clin Immunol. 2008; 121:(5):1297–1298.
    [Google Scholar]
  17. Moslehi MA. A rare case of massive foreign body aspiration mimic asthma. Respir Med Case Rep. 2019; 28::100963.
    [Google Scholar]
  18. Newby MD, Thomas D, Mullett CJ, Vijay C, Carr MM. Foreign body aspiration presenting as pneumothorax in a child. Cureus. 2020; 12:(5):e8161.
    [Google Scholar]
  19. Bourrous M, Lahmini W, Nouri H, Haimeur N. Subcutaneous emphysema and pneumomediastinum in child with asthma revealing occult foreign body aspiration: a case report. J Med Case Rep. 2019; 13:(1):14.
    [Google Scholar]
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  • Article Type: Case Report
Keyword(s): case report , chronic cough and tracheobronchial foreign body aspiration
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