Abstract
A significant proportion of cases of tracheobronchial foreign body aspiration due to life-threatening condition is observed during childhood and still one of the most common pediatric emergencies. We report the case of a 4 year-old male child who aspirated a shaped metallic foreign body placed in his mouth while playing magic in school, highlighting prevention via parental education and avoidance of objects that produce the greatest risk with children. The clinical presentation was cough, sputum and chest pain which was relieved almost instantly after aspiration. Early diagnosis and treatment with rigid bronchoscopy under general anesthesia should be performed by experienced personnel in patients suspected of foreign body aspiration to avoid life threatening respiratory sequelae. There is a need of exercise caution by parents in the handling of their children.
Highlights
Tracheobronchial metallic foreign bodies are very serious injuries
We present an unusual aspiration of metallic foreign body placed in his mouth while playing magic by a child with a tracheobronchial shaped radio-opaque foreign body, highlighting prevention with the exercise of caution by parents in the handling of their children
This contrasts with 100% of children, in whom the suspicion of foreign body aspiration existed when referred to the hospital, according to Martinot et al [8]
Summary
Tracheobronchial metallic foreign bodies are very serious injuries. It occurs more commonly in children under the age of five, owing to their insufficient airway protection reflex, poor chewing ability, and harmful habits of exploring objects with mouth as well as eating while crying or playing. Tracheobronchial metallic foreign bodies early detection and removal is necessary to avoid life threatening respiratory sequelae such as atelectasis, pneumonia, pulmonary hyperinflation and pneumomediastinum [2] Reduction of these injuries by prevention can be achieved via parental education and avoidance of objects that produce the greatest risk [3]. We present an unusual aspiration of metallic foreign body placed in his mouth while playing magic by a child with a tracheobronchial shaped radio-opaque foreign body, highlighting prevention with the exercise of caution by parents in the handling of their children. Radio-opaque object in the right tracheobronchial tree (Figure 1) He was prepared for a bronchoscopy and had rigid bronchoscopy with the removal of a metallic shaped foreign body (Figure 2) at our hospital.
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