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Published on: November 10, 2023
Expectoration of a foreign body at the late period: A case report
Tuba Tuncel1, Pinar Uysal, Fatih Firinci
1*Department of Pediatrics, Division of Allergy †Department of Radiology, Dokuz Eylul University Hospital, 35340, Inciralti, Izmir, Turkey.
Insights
Foreign body aspiration in children is common. A rare case of a child spontaneously expectorating a sunflower seed after two months of persistent wheezing is presented.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
Background:
- Foreign body (FB) aspiration is a frequent pediatric emergency, especially in children under three.
- Bronchoscopic removal is the standard treatment for aspirated foreign bodies.
Observation:
- A child presented with persistent wheezing, a common symptom of undiagnosed retained foreign bodies.
- The child had a history suggestive of foreign body aspiration.
Findings:
- Diagnostic investigations confirmed foreign body aspiration.
- Remarkably, the child expectorated a portion of a sunflower seed two months post-aspiration.
Implications:
- This case highlights a rare instance of spontaneous foreign body expectoration.
- It underscores the importance of considering foreign body aspiration in persistent pediatric respiratory symptoms, even with atypical presentations.
Abstract:
Foreign body (FB) aspiration is a relatively common problem in children, particularly during the first 3 years of life. It is an emergency condition and the removal of the FB by bronchoscopy is the primary treatment. Children with undiagnosed retained foreign bodies may present with respiratory symptoms including recurrent or persistent wheezing, with or without respiratory failure. Spontaneous expectoration of a FB is a rare occurrence. Herein, we present a case that was diagnosed with FB aspiration during investigation for persistent wheezing and who expectorated part of a sunflower seed 2 months after aspiration.
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