Bronchial foreign body: A case report

J K Sharma1, S K Pippal, Yatin Sethi

  • 1Department of ENT, Gandhi Medical College & Hamidia Hospital, Bhopal, India.

Insights

Foreign body aspiration in children, such as inhaling a metallic whistle, can cause serious complications. Early suspicion and prompt removal are key to successful management and preventing adverse outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Exogenous foreign bodies in the tracheobronchial tree are a common pediatric emergency.
  • Inhalation or ingestion of foreign objects poses significant risks, especially in unsupervised children.
  • Complications vary based on the foreign body's characteristics and duration of lodging.

Purpose of the Study:

  • To highlight the potential for serious complications from tracheobronchial foreign bodies in children.
  • To emphasize the importance of clinical suspicion and timely intervention in managing these cases.
  • To report a successful case of metallic whistle removal from the bronchial tree.

Main Methods:

  • Case report of a 12-year-old boy with a bronchial foreign body.
  • Diagnostic evaluation to identify the aspirated object.
  • Surgical or endoscopic removal of the foreign body.

Main Results:

  • A metallic whistle was successfully removed from the boy's bronchial tree.
  • The procedure was completed without any immediate or long-term complications.
  • The patient experienced a full recovery.

Conclusions:

  • Foreign body aspiration in the tracheobronchial tree requires a high index of suspicion for prompt diagnosis.
  • Early and successful removal of bronchial foreign bodies can prevent significant morbidity.
  • Pediatric foreign body aspiration management is critical for favorable patient outcomes.

Related Concept Videos

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
The Bronchial Tree01:23

The Bronchial Tree

The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...