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Pericardial foreign body.

L Nambirajan1, V V Chandrasekharam, V Bhatnagar

  • 1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Pediatric Surgery
|May 31, 2001
PubMed
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A rare case of an inhaled foreign body migrating to the pericardium is presented. This unusual migration highlights the importance of recognizing sharp foreign body migration in pediatric patients.

Area of Science:

  • Medicine
  • Pediatric Surgery
  • Cardiology

Background:

  • Inhaled foreign bodies typically lodge in the tracheobronchial tree.
  • Pericardial foreign bodies are exceedingly rare, with migration from the airway being an unprecedented event.
  • Diagnostic challenges can arise from initial misinterpretations of imaging studies.

Observation:

  • A case of a child with an inhaled foreign body that migrated to the pericardium is detailed.
  • Initial chest skiagram and bronchoscopy were misinterpreted, leading to delayed diagnosis.
  • Computerized tomography (CT) scan of the chest did not reveal the foreign body's precise location preoperatively.

Findings:

  • Surgical exploration was crucial for accurate anatomic localization of the foreign body within the pericardium.

Related Experiment Videos

  • The foreign body's unusual migration pathway from the tracheobronchial tree to the pericardium was confirmed.
  • This represents the first reported instance of a tracheobronchial foreign body migrating to the pericardium in medical literature.

    • Implications:

    • Clinicians must consider the potential for sharp foreign body migration, even to unusual locations.
    • Enhanced vigilance and potentially advanced imaging may be necessary for suspected migratory foreign bodies.
    • This case underscores the critical role of surgical exploration when diagnostic imaging is inconclusive for foreign body localization.