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Aspirated bezoar in a pediatric patient: a case report

Lynn Macksey1

  • 1University of Pittsburgh Physicians, St Margaret's Hospital, PA, USA. LynnMacksey@msn.com

AANA Journal
|August 22, 2006
PubMed

Insights

An 11-year-old boy with an esophageal bezoar experienced aspiration during surgery. Prompt bronchoscopy and suctioning cleared the airway, enabling bezoar removal and further jejunal mass investigation.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Anesthesiology

Background:

  • Esophageal bezoars can present with complications during medical procedures.
  • Surgical intervention is sometimes required for bezoar removal.

Observation:

  • An 11-year-old boy with a known esophageal bezoar aspirated significant oropharyngeal contents during induction.
  • This aspiration complicated airway management and necessitated bronchoscopy.

Findings:

  • Bronchoscopy confirmed aspiration of food material.
  • Rigid bronchoscopy with suctioning successfully cleared the airway.
  • Esophageal scope facilitated piecemeal removal of the bezoar mass.

Implications:

  • Highlights the risk of aspiration in patients with esophageal bezoars undergoing procedures.
  • Emphasizes the importance of prompt airway management and bronchoscopy for aspiration events.
  • Suggests the need for further investigation of a concurrent jejunal mass.

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