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Delayed presentation of paediatric tracheal foreign body

Simon J Davis1, Gerry Madden, Denise Carapiet

  • 1Department of Otorhinolaryngology, Portsmouth NHS Trust, Cosham Hill, Cosham, Portsmouth, PO6 3LY, UK. sd4166@hotmail.com

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|February 21, 2007
PubMed

Insights

A child

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Airway Foreign Bodies
  • Pediatric Emergency Medicine

Background:

  • Foreign body aspiration is a common pediatric emergency.
  • Delayed diagnosis can lead to significant morbidity.

Observation:

  • A 21-month-old child presented with exertional wheezing after a choking episode.
  • A plastic foreign body with a central lumen was lodged in the mid trachea.

Findings:

  • Bronchoscopy successfully retrieved the tracheal foreign body.
  • The lumen in the foreign body allowed partial ventilation, delaying presentation.

Implications:

  • Highlights the importance of thorough patient history in diagnosing airway foreign bodies.
  • Underscores the need for prompt bronchoscopy in suspected cases.
  • Informs anesthetic management for foreign body removal procedures.

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