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Paint in the Pipe: An Unusual Foreign Body
Neha Garg1, Natasha Gupta, Dheeraj Shah
1Departments of Pediatrics and *Radiology, University College of Medical Sciences (University of Delhi) and GTB Hospital, Dilshad Garden, Delhi, India. Correspondence to: Dr Dheeraj Shah, Professor, Department of Pediatrics, University College of Medical Sciences and GTB Hospital, Dilshad Garden, Delhi 110 095, India. shahdheeraj@hotmail.com.
Indian Pediatrics
|December 9, 2017
Summary
A child’s noisy breathing after inhaling sand was resolved by removing paint material. This case highlights how airway foreign bodies, even sand, can cause persistent obstruction due to adhered substances.
Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Foreign Body Aspiration
Background:
- Airway foreign bodies present significant diagnostic and therapeutic challenges.
- Prompt recognition and intervention are crucial for managing pediatric airway emergencies.
Observation:
- A 30-month-old girl presented with noisy breathing after a fall into sand.
- Initial bronchoscopic removal of sand provided temporary relief, but symptoms recurred.
- Radiographic imaging identified a radiodense foreign body in the cervical airway.
Findings:
- Repeat bronchoscopy successfully removed paint material adhered to the airway.
- The presence of paint within the inhaled sand was the cause of persistent obstruction.
- Successful foreign body removal led to complete resolution of stridor and wheezing.
Implications:
- Inhaled sand containing foreign materials like paint can lead to prolonged airway obstruction.
- Persistent respiratory symptoms after suspected foreign body aspiration warrant thorough investigation.
- This case underscores the importance of considering material composition in airway foreign body management.
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