Bronchoscopic retrieval of a bullet using a Dormia basket: a case report

Lax, Elizabeth A.; Kiran, Sayee H; Lee, Michael W.

doi:10.1186/1752-1947-8-358

Cited by 10 publications

(8 citation statements)

References 10 publications

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“…Different technique, mostly limited to case reports, are present in the literature, describing usefulness of urology basket [1,5,13,19] endobronchial Roth-Net [20] and Fogarty catheter [14]. The use of forceps of various shapes, baskets, snaring wire, coagulation knives, and probes for cryotherapy is also reported [21].…”

Section: Discussionmentioning

confidence: 99%

Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of ﬂexible bronchoscopy and urology stone retrieval basket in emergency setting

2021

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Objective: Tracheobronchial aspiration of foreign body in children is an emergency that can lead to major complications. In the last years flexible bronchoscopy has gained popularity for foreign bodies retrieval in the pediatric population, yet the small size of the pediatric airway and of the flexible bronchoscope channel limit the availability of instruments during the procedure. Aim of this paper is to describe our experience in treating foreign bodies tracheobronchial aspiration in children aged 2 years or less by means of flexible bronchoscope and an urology stone retrieval basket. Methods: A review of endoscopic foreign bodies removal by means of flexible bronchoscopy and urology stone retrieval basket has been carried out in children ≤ 2 years that presented at the Emergency Room of our hospital from 2005 to 2019. In the paper, we analyze characteristics of patients, timing of bronchoscopy, instruments and operative management. Results: There were 25 patients with a mean age of 20 ± 3.8 months. Organic material was the most frequent observed foreign body. Association of main bronchus and distal bronchi was the preferred site of the foreign body in 19 patients and the right side of the bronchial tree was involved in 17 cases. Complications occurred in one case. Mean operation time was 37 ± 20 minutes. Conclusions: The use of flexible bronchoscope can be helpful in handling endoscopic removal of tracheobronchial foreign bodies in toddlers. The use of the urology stone retrieval basket resulted very effective in all shapes of foreign bodies and/or when the object was located in the distal bronchi.

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Section: Discussionmentioning

confidence: 99%

Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of ﬂexible bronchoscopy and urology stone retrieval basket in emergency setting

2021

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“…FOB was planned in OT to inspect the airway with backup of ENT and thoracic surgeon. There is a case with removal of bullet by FOB with the help of dormia basket [7]. We were prepared with all our foreign body removal (FB) armamentarium - like FB grasping forceps, magnet forceps and dormia basket.…”

Section: Discussionmentioning

confidence: 99%

Bullet in tracheobronchial tree without lung contusion removed by fibreoptic bronchoscopy in two parts

Prakash

Jaiswal

Aggarwal

et al. 2019

Respiratory Medicine Case Reports

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A person presented with multiple gunshot injury. Chest x-ray & CT whole body trauma protocol was done which showed multiples pellets of bullet in abdomen and one bullet in elbow according to entry wound. There was an entry wound without any bullet in left maxillofacial region however there was no exit wound. A bullet was noticed in tracheobronchial tree. There was no pneumothorax any signs of chest trauma or any pneumomediastinum. It is assumed that the bullet first hit the left cheek (maxilla) and lost its momentum. As the patient lost consciousness and had a fall leading to inhalation (aspiration) of bullet in the airway. As per ballistic experts it was basically a jacketed metallic bullet. As bullet moved in airway, the outer metallic core reached the trachea near carina and the soft metallic core slipped more distally to right main bronchus and bronchus intermedius. While inspection the outer metallic capsule was seen in trachea just above carina which was hollow and was gently removed with the help of foreign body forceps. The core was removed with dormia basket without any mucosal tear. The favorable outcome can be attributed as patient had no lung contusion or chest trauma and bullet was inhaled which was not very old. The evolution of bronchoscopy started with rigid one but the fibreoptic bronchoscopy (FOB) has revolutionized the pulmonary interventions. The FOB can be used with minimal traumas under local anesthesia resulting in markedly reduced morbidity and mortality.

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“…A pathognomonic sign of airway laceration is air escaping from a penetrating wound in the neck. 2 The use of CT scan can help in identifying the extent of damage and locating the foreign body and the type of material. 4 When the radiographic density of the foreign body is greater than the surrounding pulmonary parenchyma, CT scan may reveal the foreign body.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple complications arise due to this injury which includes development of airway strictures, as well as atelectasis, infection, and perforation. 2 As this is a rare occurrence, a standard procedure for the removal of foreign bodies within the airway in a trauma setting has yet to be established. 2…”

Section: Introductionmentioning

confidence: 99%

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Tracheotomy as a surgical access for removal of bullet in the trachea: A case report

Ramasundram

Abdullah

Kumarasamy

et al. 2018

Alexandria Journal of Medicine

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Gunshot tracheal injury with retained bullet fragment inside the trachea presents a challenge for removal. The treatment of the tracheal injury depends on the magnitude of the tracheal wound and the presence of injury to adjacent organs. The surgical removal may require both bronchoscopy and an open trachea exploration. We report a case of a gunshot injury to the trachea which requires a tracheotomy for a successful bullet removal.

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Bronchoscopic retrieval of a bullet using a Dormia basket: a case report

Cited by 10 publications

References 10 publications

Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of ﬂexible bronchoscopy and urology stone retrieval basket in emergency setting

Tracheobronchial foreign body aspiration in children aged ≤ 2 years: the use of ﬂexible bronchoscopy and urology stone retrieval basket in emergency setting

Bullet in tracheobronchial tree without lung contusion removed by fibreoptic bronchoscopy in two parts

Tracheotomy as a surgical access for removal of bullet in the trachea: A case report

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