Wandering airway foreign body in early infancy

Authors

  • Rajkumar M. Meshram Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India
  • Nilesh Nagdeve Department of Pediatric Surgery, Government Medical College, Nagpur, Maharashtra, India
  • Vishal S. Gajimwar Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India
  • Parameshappa N. Nandikoppa Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India
  • Suraj P. Gondase Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20203180

Keywords:

Airway foreign body, Bronchoscopy, Infant, Foreign body aspiration

Abstract

Accidental impaction of objects in the respiratory passage is a life-threatening condition. A 9-month-old male infant was admitted with fever, cough and respiratory distress without history of choking. He was treated as wheezy bronchitis with appropriate therapy but, did not show response. HRCT showed an impacted foreign body in the trachea which caused a partial luminal compromise. Two attempts to remove foreign body by rigid bronchoscope failed, and tracheostomy was performed due to fall in oxygen saturation. After stabilization, again saturation was falling and air entry was absent on right hemithorax. Considering the possibility of movement of foreign body in right bronchus, bronchoscope was reintroduced and foreign body was removed in piecemeal. This process was complicated with cardiorespiratory arrest, twice from which the patient was revived. Postoperative period was uneventful. So, high index of suspicion is required to diagnose such a foreign body of the tracheobronchial tree to prevent morbidity and mortality.      

References

Dorterler ME, Kocaman OH, Gunendi T, Boleken E. A single -center experience of pediatric foreign-body aspiration: a retrospective 4-year case series. Lung India. 2019;36(3):22-6.

Chew HS, Tan HKK. Airway foreign body in children. Int J Clin Med. 2012;3:655-60.

Skoulakis CE, Doxas PG, Ppadakis CE, Proimos E, Christodoulou P, Bizakis JG, et al. Bronchoscopy for foreign body removal in children. A review and analysis of 210 cases. Int J Pediatr Otorhinolaryngol. 2000;53:143-8.

Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: a critical review for a common pediatric emergency. World J Emerg Med. 2016;7(1):5-12.

Sultan TA, van As AB. Review of tracheobronchial foreign body aspiration in the South African paediatric age group. J Thorac Dis. 2016;8(12):3787-96.

Narayanan SK, Mohanan A. Infant with a foreign body bronchus: a fishy situation. Ann Pediatr Surg. 2017;13(2):93-4.

Dias E. An unusual case of foreign body aspiration in an infant. Ann Med Health Sci Res. 2012;2(2):209-10.

Roy K, Amin SK, Setu M, Khondaker T, Chowdhury NS. An unusual case of foreign body aspiration: a casereport. AKMMC J. 2015;6(2):47-9.

Cantaneo AJ, Reibscheid SM, Ruiz Junior RL, Ferrari GF. Foreign body in tracheobronchial tree. Clin Pediatr. 1997;36(12):701-6.

Heyer CM, Bollmeier ME, Rossler L, Nuesslein TG, Stephan V, Bauer TT, et al. Evaluation of clinical, radiological, and laboratory prebronchoscopy finding in children with suspected foreign body aspiration. J Pediatr Surg. 2006;41(11):1882-8.

Kadmon G, Stern Y, Bron-Harlev E, Nahum E, Battat E, Schonfeld T. Computerized scoring system for the diagnosis of foreign body aspiration in children. Ann Otol Rhinol Laryngol. 2008;117(11):839-43.

Hidaka H, Obara T, Kuriyama S, Kurosawa S, Katori Y, Kobayashi T. Logistic regression analysis of risk factors for prolonged pulmonary recovery in children from aspirated foreign body. Int J Pediatr Otorhinolaryngol. 2013;77(10):1677-82.

Kaur K, Sonkhya N, Bapna AS. Foreign bodies in the tracheobronchial tree: a prospective study of fifty cases. Indian J Otolaryngol Head Neck Surg. 2002;54(1):30-4.

Fidkowski CW, Zheng H, Firth PG. The anesthetic consideration of tracheobronchial foreign bodies in children: a literature review of 12979 cases. Anesth Analg. 2010;111(4):1016-25.

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Published

2020-07-22

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Section

Case Reports