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Unusual Bronchial Foreign Bodies with Localized Bronchiectasis in Five Children

Xi-Ling Wu1, Lei Wu1, Zhi-Min Chen1

  • 1Department of 'A', The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Case Reports in Medicine
|February 25, 2020
PubMed

Insights

Foreign body aspiration can cause bronchiectasis in children. Early diagnosis and removal of the foreign body lead to good prognoses, reducing the need for surgery or preventing mortality.

Area of Science:

  • Pediatric Pulmonology
  • Medical Imaging

Background:

  • Bronchiectasis in children is often idiopathic.
  • The link between foreign body aspiration and bronchiectasis is not well-established.

Observation:

  • A retrospective review of pediatric patients diagnosed with bronchiectasis due to foreign body retention was conducted.
  • Five children (four boys, one girl; aged 15 months to 13 years) were included in the study.

Findings:

  • Computed tomography (CT) scans revealed localized cylindrical bronchiectasis in all five patients.
  • Successful removal of foreign bodies via bronchoscopy resulted in positive patient outcomes.

Implications:

  • Localized cylindrical bronchiectasis in children warrants investigation for foreign body aspiration.
  • Early detection and removal of aspirated foreign bodies significantly improve prognosis, decreasing risks of lobectomy and mortality.

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