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Post-obstructive pulmonary edema from aspirated nuts
Ahsan Bashir1, Sabina Qureshi Ahmad1, Joshua Silverman1
1SUNY Downstate Medical Center, Brooklyn, NY, USA.
SAGE Open Medical Case Reports
|July 19, 2017
Summary
Aspiration of nuts into the trachea caused post-obstructive pulmonary edema in a child. Prompt endoscopic removal of the foreign body resolved the edema.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Critical Care
Background:
- Post-obstructive pulmonary edema (POPE) is a rare condition.
- It is typically associated with hemodynamic changes from forced inspiration against a closed airway.
- Causes include upper airway obstruction from various etiologies.
Observation:
- A 13-month-old boy presented with acute respiratory distress.
- Clinical history suggested aspiration of a foreign body.
- Bronchoscopy revealed aspirated nuts obstructing the trachea.
Findings:
- The patient developed severe pulmonary edema during the obstruction and endoscopic removal.
- Following successful endoscopic removal of the aspirated nuts, the patient was mechanically ventilated.
- Pulmonary edema resolved rapidly after airway patency was restored.
Implications:
- Tracheal obstruction by aspirated foreign bodies, such as nuts, can precipitate obstructive pulmonary edema.
- Early clinical suspicion and prompt endoscopic intervention are crucial for managing such cases.
- Timely removal of the foreign body leads to rapid resolution of pulmonary edema and improved patient outcomes.
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