Diagnosis and Treatment of Foreign Bodies in the Airway in Paediatrics: A Case Series

Main Article Content

Catalina Correa
Dominique Daniela González Casas
Luis Carlos Rincón
Rafael Peña
Juan Pablo Luengas

Abstract

Background


Foreign body aspiration is an emergency in the paediatric population. Delay in diagnosis may lead to complications.


Purpose


To present our experience with the diagnosis and management of foreign body aspiration in children treated in a general hospital.


Methods


A total of 59 patients were admitted between January 2012 and May 2016 due to the ingestion or aspiration of foreign bodies. Five patients had a surgical procedure to remove the foreign body from their airway. A review was made of their medical charts in order to analyse patient characteristics, symptoms, time from aspiration to emergency visit, findings on chest x-ray, type and location of the foreign body, and treatment.


Results


Three girls and two boys between two and eight years of age had a surgical procedure for foreign body aspiration. Two patients (40%) were seen in the emergency department two hours after the event, and one of them was sent back home due to a wrong interpretation of x-ray findings. Three patients were seen in the emergency department 3-10 days after foreign body aspiration, with fever and lower respiratory symptoms, and one was treated for pneumonia for six days before the diagnosis of foreign body aspiration was made. One patient did not have an x-ray film, and the diagnosis was clinical. Three (60%) foreign bodies were metallic, one (20%) was plastic, and one (20%) was organic. All foreign bodies were found on the right side of the chest, and those located in the upper airways were extracted with rigid bronchoscopy. One patient was subjected to thoracoscopy to retrieve a needle from the lung parenchyma.


Conclusions


Delay in diagnosis and misinterpretation of chest x-ray may lead to complications and morbidity in children with foreign body aspiration. Clinicians must have a high index of suspicion and rely on patient history and symptoms to prompt a timely referral to the paediatric surgeon.


 

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Article Details

How to Cite
Correa, C., González Casas, D. D., Rincón, L. C., Peña, R., & Luengas, J. P. (2016). Diagnosis and Treatment of Foreign Bodies in the Airway in Paediatrics: A Case Series. Pediatría, 49(4), 122–127. Retrieved from https://revistapediatria.emnuvens.com.br/rp/article/view/10
Section
Case report

References

1. L.B1 Aydoğan,U. Tuncer,L. Soylu,M. Kiroğlu,C. Ozsahinoglu Rigid bronchoscopy for the suspicion of foreign body in the airway Int J Pediatr Otorhinolaryngol., 70 (2006), pp. 823 828 http://dx.doi.org/10.1016/j.ijporl.2005.09.010 Medline

2. C.M. Heyer,M.E. Bollmeier,L. Rossler,T.G. Nuesslein,V. Stephan,T.T. Bauer Evaluation of clinical, radiologic, and laboratory prebronchoscopy findings in children with suspected foreign body aspiration J Pediatr Surg., 41 (2006), pp. 1882-1888 http://dx.doi.org/10.1016/j.jpedsurg.2006.06.016 Medline

3. D.A. Lowe,R. Vasquez Maniaci V. foreign body aspiration in children Clin Pediatr Emerg Med., 16 (2015), pp. 140-148

4. S.B. Lalani Foreign body aspiration: a life-threatening situation J Perianesth Nurs., 30 (2015), pp. 50-53 http://dx.doi.org/10.1016/j.jopan.2014.02.004 Medline

5. F. Foltran,S. Ballali,F.M. Passali,E. Kern,B. Morra,G.C. Passali Foreign bodies in the airways: a meta-analysis of published papers Int J Pediatr Otorhinolaryngol, 76 (2012), pp. S12-S19 http://dx.doi.org/10.1016/j.ijporl.2012.02.004 Medline

6. H.K. Tan,K. Brown,T. McGill,M.A. Kenna,D.P. Lund,G.B. Healy Airway foreign bodies (FB): a 10-year review Int J Pediatr Otorhinolaryngol., 56 (2000), pp. 91-99 Medline

7. S.V. Hegde,P.K. Hui,E.Y. Lee Tracheobronchial foreign bodies in children: imaging assessment Semin Ultrasound CT MR., 36 (2015), pp. 8-20 http://dx.doi.org/10.1053/j.sult.2014.10.001 Medline

8. D. Blair,R. Kim,N. Mills,C. Barber,M. Neeff A heuristic approach to foreign bodies in the paediatric airway Int J Pediatr Otorhinolaryngol., 78 (2014), pp. 2262-2266 http://dx.doi.org/10.1016/j.ijporl.2014.10.029 Medline

9. C.M. Giannoni,R.P. Guillerman Computed tomography for the evaluation of suspected airway foreign bodies Clin Pediatr Emerg Med., 16 (2015), pp. 230-234

10. P.C. Fitzpatrick,J. Guarisco Pediatric airway foreign bodies J LA State Med Soc., 150 (1998), pp. 138-141 Medline

11. C. Zhijun,Z. Fugao,Z. Niankai,C. Jingjing Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body J Pediatr Surg., 43 (2008), pp. 718-721 http://dx.doi.org/10.1016/j.jpedsurg.2007.10.010 Medline

12. N. Dave,S.N. Oak Metallic foreign body in the lung: a case report J Pediatr Surg., 42 (2007), pp. 1282-1283 http://dx.doi.org/10.1016/j.jpedsurg.2007.02.022 Medline

13. X. Latifi,A. Mustafa,Q. Hysenaj Rigid tracheobronchoscopy in the management of airway foreign bodies: 10 years experience in Kosovo Int J Pediatr Otorhinolaryngol., 70 (2006), pp. 2055-2059 http://dx.doi.org/10.1016/j.ijporl.2006.07.017 Medline

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