Abstract
Background: Foreign body aspiration is a life threatening condition that must be treated immediately, such as nuts, plastic, hijab needles. Incidents commonly occur in children, especially under 3 years old. Clinical manifestations may vary from mild to severe. Treatment includes bronchoscopy, VATS and thoracotomy. Video Assisted Thoracoscopy Surgery can reduce postoperative morbidity, pain scale and length of stay. Conversion from VATS to open thoracic surgery is 2-23% Case Presentation: A 12 year old girl was admitted with chief complaints inhaling a hijab needle one day before admission. The patient tried to remove the needle by pulling out the needle from the base of the tongue. Saliva was not mixed with blood. There was no shortness of breath, cough, nor pain when swallowing, neither nausea nor vomiting. Physical examination was within normal limit. A chest x-ray showed a needle-like object projecting from the right bronchus at Th6-Th7. Bronchoscopy was carried out as first attempt, followed by VATS and eventually converted to thoracotomy. Patient remained stable after procedure and discharged without complications. Conclusion: Needle hijab aspiration often occurs in adolescent girls which can cause morbidity. The procedures may vary from minimally invasive such as bronchoscopy, to more invasive procedures such as VATS and thoracotomy Keywords: corpus alienum, VATS, thoracotomy
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