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Barium aspiration in an infant: a case report and review of management

M Jackson1, N Kapur2, V Goyal2

  • 1Department of Respiratory Medicine, Royal Children's Hospital, Queensland Children's Respiratory Centre , Brisbane, QLD , Australia.

Frontiers in Pediatrics
|May 13, 2014
PubMed

Insights

Barium aspiration occurred in an infant during a barium swallow test for dusky spells. A tracheo-esophageal cleft was found, highlighting the need for clear management guidelines for pediatric barium aspiration.

Area of Science:

  • Pediatric Medicine
  • Gastroenterology
  • Pulmonology

Background:

  • Barium swallow studies are diagnostic tools for infants with feeding issues.
  • Barium aspiration in children is rare with limited documented cases.
  • Tracheo-esophageal clefts can lead to aspiration during swallowing.

Purpose of the Study:

  • To report a case of bilateral barium inhalation in an infant.
  • To review existing literature on pediatric barium aspiration.
  • To propose management recommendations for barium aspiration in children.

Main Methods:

  • Case report of an infant with bilateral barium inhalation.
  • Bronchoscopic examination to identify the cause of aspiration.
  • Literature review of barium aspiration in pediatric patients.

Main Results:

  • Bilateral barium inhalation was confirmed in the infant.
  • A mid-tracheal tracheo-esophageal cleft was identified as the underlying anomaly.
  • Literature search revealed a lack of consensus on management strategies.

Conclusions:

  • Tracheo-esophageal clefts pose a risk for barium aspiration during diagnostic procedures.
  • Further research is needed to establish standardized management protocols.
  • Prompt diagnosis and intervention are crucial for managing barium aspiration in infants.

Keywords:
aspirationbariumtracheo-esophageal clefttracheo-esophageal fistula

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