Abstract
Foreign body aspiration is common in children and adolescents. Foreign body aspiration is often unnoticed and diagnosis may be delayed in children, as many fail to provide a history. Although rigid bronchoscopy is preferred modality, flexible bronchoscopy is also a useful tool for foreign body extraction from the distal airways in selected cases. An eleven-year-old boy presented with a history of fever and dry cough of one month's duration. A chest x-ray showed a linear radiopaque foreign body along the course of the right bronchus. Flexible bronchoscopy revealed a metallic nail-like structure in right lower lobe bronchus which was successfully grasped with the flexible forceps and extracted via the oral route with the bronchoscope. Upon extraction aspirated foreign body was found to be a push-pin.
Highlights
Foreign body aspiration is common in children and adolescents.[1,2] It may present as acute respiratory failure, new-onset dyspnea, wheeze, cough, and hemoptysis requiring urgent removal
We report a case of foreign body- a push pin in right lower lobe bronchus in a child who presented with fever and Flexible Bronchoscopic Removal of Push-Pin from Bronchus cough of one-month duration
Foreign body aspiration may go unrecognized and diagnosis is often delayed in children and adolescents who fail to give a history of choking and aspiration.[5]
Summary
Foreign body aspiration is common in children and adolescents.[1,2] It may present as acute respiratory failure, new-onset dyspnea, wheeze, cough, and hemoptysis requiring urgent removal. Foreign bodies may present as atelectasis, non-resolving pneumonia, and localized bronchiectasis or sometimes incidentally detected in the chest radiograph.[4] Here, we report a case of foreign body- a push pin in right lower lobe bronchus in a child who presented with fever and Flexible Bronchoscopic Removal of Push-Pin from Bronchus cough of one-month duration. Fever was low to moderate grade, not associated with chills and rigors He denied any history of chest pain, hemoptysis, wheezing, and shortness of breath, or weight loss. Diagnosis of foreign body aspiration, probably a metallic nail obstructing the distal right bronchial tree and post obstructive pneumonia of right lower lobe was made. A metallic nail-like structure was seen in the right lower lobe bronchus It was pulled out en-bloc along with bronchoscope
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