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04:55
Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Spontaneous expulsion of a sharp foreign body
Syed M Tariq1, Laura Succony, Randhir S Bhatia
1The Respiratory Unit, Luton & Dunstable Hospital, Luton, UK. doc_smt@hotmail.com
Journal of Bronchology & Interventional Pulmonology
|December 5, 2012
Summary
Foreign body aspiration in children is common. A 14-year-old girl successfully coughed out a scarf pin after initial bronchoscopy attempts, avoiding further procedures.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
Background:
- Foreign body aspiration is a significant cause of accidental injury and death in young children.
- Bronchoscopic retrieval is the standard treatment for inhaled foreign bodies.
Observation:
- A 14-year-old female presented with a foreign body (scarf pin) in her airway.
- Initial flexible bronchoscopy partially advanced the pin but it was reaspirated into the lower trachea.
Findings:
- Despite initial challenges and planned rigid bronchoscopy, the patient spontaneously expectorated the foreign body.
- This case highlights an unusual resolution of a potentially dangerous airway obstruction.
Implications:
- While bronchoscopy is effective, spontaneous resolution can occur, potentially avoiding invasive procedures.
- This case underscores the importance of patient monitoring and the possibility of unexpected outcomes in airway foreign body management.
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