Abstract
BackgroundThough foreign body (FB) aspiration or ingestion is not uncommon in children, a straight pin as the culprit FB is rarely seen. The nature of such a FB makes it sometimes difficult to diagnose and deal with, especially in children.Case reportHere we present such a case who was initially misdiagnosed with FB ingestion but turned out to be an aspiration case. Moreover, its remote location from the hilum made a more invasive surgical retrieval inevitable. A thoracotomy was finally performed to retrieve the pin. And the postoperative course was uneventful.ConclusionFor pediatric FB cases, especially in such a case, it is very important to diagnose timely and accurately. A multidisciplinary team approach would facilitate prompt and accurate diagnosis and potentially simplify treatment.
Highlights
Though foreign body (FB) aspiration or ingestion is not uncommon in children, a straight pin as the culprit FB is rarely seen
The boy underwent a computed tomography (CT) scan to further confirm a diagnosis of right lung FB, after which the child was transferred to our department
We found no cases in the English-language literature of an airway straight pin in the child as the present one we report here
Summary
Either aspirated or ingested, are very common in children (Cheng and Tam 1999; Zitzmann et al 1999; Louie and Bradin 2009; Lorenz 1983; Eren et al 2003). A straight pin, is rarely seen as the culprit The nature of this kind of foreign body (FB) and its very low incidence make it difficult to diagnose and treat. We present here a rare pediatric inhaled straight pin case mimicking a swallowed one and discuss its diagnosis and treatment. A 6 years old boy was sent by his parents to the emergency department of our hospital for “having swallowed an iron nail” 15 h ago though his parent did not witness the accident on site. He felt no pain or discomfort, nor had he had vomit or fever. The postoperative course was uneventful and the boy was discharged on day 7
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