Foreign Body Bottom of Pen in Bronchus with and without Atelectasis

Abstract

Introduction: Foreign body aspiration (FBA) is a common case in children. Delayed diagnosis more than 24 hours often increased the risk of complications and mortality. Atelectasis is one of the common complication of FBA. Rigid bronchoscopy under general anaesthesia is the choice of procedure for diagnosis and treatment. Case Report: It was reported two cases foreign body aspirationof a bottom of pen. First case was agirl, aged 6 year-old with foreign body a bottom of pen without lumen in bronchus with atelectasis and second case was a foreign body bottom of penwith lumen in bronchus in a boy, aged12 year-old without atelectasis but late diagnosis. Both cases have been successfully extracted using rigid bronchoscopy. Conclusion: Foreign body without lumen have more acute and severe complication rather than foreign body with lumen. The presence of a lumen within the foreign body allows good ventilation and shows less symptomps. Appropriate diagnosis and treatment will minimize the risk of complications.

A Cause of Asthma Misdiagnosis: Foreign Body Aspiration That Allows Air Passage Through

“…Yet, a delay in diagnosis and its complications are not rare either (7) . Respiratory complications such as chronic cough or wheezing, recurrent pneumonias, atelectasis, life-threatening airway obstruction, or lung abscess may be detected in patients with delayed diagnosis (4,5) .…”

“…History and radiological findings may enable the clinician to detect the FBA soon enough in many cases. But delayed diagnosis which is defined as diagnosis time exceeding 24 hours is also common and occurs in approximately 40% of the patients with FBA (4) .…”