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A unique case of foreign body aspiration and recurrent pneumothorax

Mario Lima1, Sara Ugolini, Niel Di Salvo

  • 1Department of Paediatric Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna. mario.lima@unibo.it.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|March 6, 2018
PubMed

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Foreign body aspiration in children can cause severe pneumothorax. A 13-year-old girl

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Foreign Body Aspiration

Background:

  • Recurrent pneumothorax presents a significant challenge in pediatric patients, particularly those with underlying lung conditions like bullous lung disease.
  • Foreign body aspiration is a known cause of respiratory distress and complications in children, often requiring prompt diagnosis and intervention.

Observation:

  • A 13-year-old female presented with recurrent bilateral pneumothorax, previously managed with robot-assisted bullectomy.
  • During a subsequent thoracoscopy for persistent symptoms, an inorganic foreign body was identified lodged apically in the lung.

Findings:

  • The presence of an upward-pointing inorganic foreign body was discovered during thoracoscopy.
  • This foreign body is hypothesized to have contributed to the persistent clinical picture of recurrent pneumothorax, despite previous surgical treatment of the bullous lung disease.

Implications:

  • Identifying and removing foreign bodies is crucial in managing persistent or recurrent pneumothorax in pediatric patients.
  • This case highlights the importance of considering foreign body aspiration in the differential diagnosis of recurrent respiratory complications, even after initial surgical interventions.

Keywords:
Bullous lungForeign bodyPneumothoraxRobotic surgeryThoracoscopy

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