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Hollow bone in the bronchus or the danger of chicken soup
A Avital1, C Springer, J J Meyer
1Department of Pediatrics, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
Respiration; International Review of Thoracic Diseases
|January 1, 1992
Insights
A pediatric case highlights a foreign body aspiration risk in infants. A chicken bone lodged in a 6-month-old's airway caused severe respiratory distress, requiring medical intervention.
Area of Science:
- Pediatric Emergency Medicine
- Pulmonology
- Gastroenterology
Background:
- Infant feeding practices carry inherent risks, including foreign body aspiration.
- Accurate diagnosis of airway obstruction in infants is critical for timely intervention.
Observation:
- A 6-month-old infant presented with acute, severe respiratory distress.
- The infant had recently been fed chicken soup via spoon.
- Initial physical examination and chest X-rays did not reveal obvious abnormalities.
Findings:
- Bronchoscopy identified a hollow chicken bone obstructing the entire left main bronchus.
- The foreign body was successfully removed, resolving the respiratory distress.
Implications:
- This case underscores the importance of vigilance during infant feeding, especially with small, ingestible items.
- Healthcare providers should consider foreign body aspiration in infants presenting with unexplained respiratory distress, even with normal initial investigations.
- Awareness of potential food-related airway hazards can guide preventative strategies and diagnostic approaches in pediatric care.
Abstract:
A 6-month-old infant arrived at the emergency room with severe respiratory distress after being spoon-fed chicken soup. Air entry was normal, chest X-rays were normal, and bronchoscopy revealed a hollow chicken bone lining the whole left main bronchus.