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Esophageal foreign body causing sustained stridor in an infant

Eitaro Hiejima1, Hiroshi Nakase2, Shinji Uemoto3

  • 1Department of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Clinical Journal of Gastroenterology
|July 17, 2015
PubMed

Insights

An 8-month-old boy with persistent stridor was found to have a foreign body (FB) compressing his trachea. Surgical removal of the FB resolved the airway obstruction and stridor, leading to an excellent recovery.

Area of Science:

  • Pediatric Pulmonology
  • Medical Imaging
  • Foreign Body Aspiration

Background:

  • Persistent stridor in infants can mimic common respiratory conditions like asthma.
  • Delayed diagnosis of foreign body aspiration can lead to significant morbidity.

Purpose of the Study:

  • To report a case of a pediatric patient with stridor caused by a tracheal foreign body.
  • To highlight the diagnostic utility of advanced imaging and endoscopy in foreign body removal.

Main Methods:

  • Computed tomography (CT) scan and barium swallow for mass identification.
  • Endoscopic examination for direct visualization and foreign body characterization.
  • Surgical removal of the identified foreign body.
  • Postoperative bronchoscopy to assess airway patency.

Main Results:

  • Imaging revealed a gas-filled mass causing tracheal compression.
  • Endoscopy identified a yellow foreign body with surrounding granulation tissue.
  • Surgical removal of the foreign body led to improved tracheal compression.
  • The patient experienced complete resolution of stridor post-surgery.

Conclusions:

  • Foreign body aspiration should be considered in infants with unexplained respiratory symptoms.
  • Multimodal diagnostic approaches, including imaging and endoscopy, are crucial for accurate diagnosis.
  • Timely surgical intervention can effectively treat tracheal foreign bodies and improve patient outcomes.

Keywords:
EsophagusForeign bodiesInfantStridor

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