A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

Dabu, Joan; Lindner, Meredith; Azzam, Mohd Hazem; Al-khateeb, Anas; Kadri, Muqueet; Bellary, Sharath; Miller, Richard A.

doi:10.1155/2017/3092623

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…3 Patients with chronic retention of foreign bodies are predisposed to develop obstructive emphysema, bronchiectasis, lung abscess, pleural effusion, FB granuloma, and pneumomediastinum. 9 In our case, during the second attempt at retrieval, there was accidental displacement into the lung parenchyma. When the FB is lodged in the subsegmental bronchus level, as in our case, bronchoscopy-guided retrieval is technically demanding as there is a significant risk of distal displacement.…”

Section: Discussionmentioning

confidence: 52%

A Pin is Mightier than the Sword!

Joshi¹,

Pareekshith²,

Kulsange³

2023

Indian Journal of Critical Care Case Report

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CASE REPORTnecessary in these cases and usually is done under bronchoscopy guidance (Fig. 1).A multidisciplinary team with diagnostic and interventional radiologist s, pulmonologist s, anesthesiologist s, and otorhinolaryngologists was formed, and a comprehensive plan was formulated. In view of the radiopaque nature of the pin, it was decided to attempt removal under fluoroscopic and bronchoscopic guidance. Both flexible and rigid bronchoscope-guided retrieval was attempted, but the first attempt failed as the pin was lodged partly in the third-generation bronchus. It was decided to repeat the procedure under general anesthesia and both bronchoscopic and fluoroscopic guidance. A snare was passed into the appropriate bronchus, and removal was attempted. However, there was an inadvertent displacement of the pin into the lung parenchyma during attempted retrieval (Fig. 2).While thoracotomy is the next-line procedure for this scenario, it was temporarily deferred. The patient was counseled regarding

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Section: Discussionmentioning

confidence: 52%

A Pin is Mightier than the Sword!

Joshi¹,

Pareekshith²,

Kulsange³

2023

Indian Journal of Critical Care Case Report

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“…При длительном стоянии инородного тела в дыхательных путях возможно развитие тяжелых осложнений, приводящих к инвалидизации. После удаления длительно стоящих инородных тел частота развития хронических гнойных заболеваний легких достигает 60% [3,4].…”

Section: Introductionunclassified

Our Experience in the Treatment of Children With Foreign Bodies in the Lower Respiratory Tract

Egorov

Мустафаев

2018

Science and Innovations in Medicine

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Urrently, the problem of foreign bodies in the airways of children continues to be relevant. Aim - to assess the effectiveness of diagnostics and treatment of children with foreign bodies in tracheobronchial tree. Materials and methods. In the Department of otorhinolaryngology, the SBHI of MAMRRCI n.a. M.F. Vladimirskiy, we performed an integrated research of 189 children of different age, who had aspirated foreign bodies in the airways. We studied anamnestic, clinical, roentgenological and endoscopic criteria for the diagnosis of this pathology; we also studied the frequency of clinical complications caused by aspiration. Results. Follow-up observation of these children shows a significant frequency of remaining changes in the lungs after removal of foreign bodies. Discussion. In our opinion, for correct diagnosis and provision of qualified care to sick children it is necessary to raise awareness of parents and primary care physicians about the dangers of this pathology. If there is a reason to suspect a foreign body in the airways, consultation in a specialized institution is vitally important. The only correct method of treating children with foreign body in the airways, even at the slightest suspicion, is timely performed tracheobronchoscopy.

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Suitability of òhe modality virtual bronchoscopy with aspiration of a foreign body

Mitev¹,

Valkanov²,

Ribarova³

et al. 2018

TJS

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Aspirations of foreign bodies are life-threatening among children and elderly patients requiring urgent medical assistance. The aim of the study is to present summarized results from various authors' studies to reveal VB's diagnostic abilities for suspected aspiration of a foreign body. VB has been shown to be a particularly useful non-invasive modality for the complex tracheobronchial tree assessment for suspected aspiration of a foreign body due to its high sensitivity, specificity and validity. MDCT VB with MPR allows accurate localization of the foreign body, but in secondary inflammatory changes and secretions it does not provide accurate information about the form and type of the finding. VB cannot replace FB ("gold standard") but successfully supports and complements it. MDCT could provide early diagnosis in cases of suspected aspiration of a foreign body in children and adults and avoid real bronchoscopy in patients with poor overall condition.

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A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

Cited by 4 publications

References 7 publications

A Pin is Mightier than the Sword!

A Pin is Mightier than the Sword!

Our Experience in the Treatment of Children With Foreign Bodies in the Lower Respiratory Tract

Suitability of òhe modality virtual bronchoscopy with aspiration of a foreign body

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