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Acute Paediatric Tracheal Deviation and Neck Lump Secondary to Food Bolus Impaction

Quentin Bonduelle1, John Yaro2, Youssef Aladham2

  • 1Otolaryngology, University Hospitals of Leicester, Leicester, GBR.

Cureus
|February 28, 2022
PubMed

Insights

Rare neck masses in children can cause acute tracheal deviation, a serious condition. Prompt stabilization and resuscitation are crucial for managing these pediatric emergencies.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Emergency Medicine

Background:

  • Acute tracheal deviation in children secondary to neck masses is uncommon.
  • Broad differential diagnoses and potential for patient compromise necessitate rapid assessment.
  • Stabilization and resuscitation are paramount in managing such pediatric emergencies.

Observation:

  • A six-year-old boy with neurodevelopmental delay and dysphagia presented with acute soft food bolus impaction.
  • The patient exhibited significant tracheal deviation and a palpable firm neck mass.
  • The case occurred in a UK university hospital lacking on-site pediatric intensive care.

Findings:

  • The presentation highlighted diagnostic challenges associated with pediatric neck masses causing airway compromise.
  • Diagnostic work-up involved evaluating the neck mass and associated tracheal deviation.
  • Management focused on stabilizing the patient in a resource-limited setting.

Implications:

  • This case underscores the importance of considering rare causes of airway obstruction in children.
  • Effective management requires prompt diagnosis and multidisciplinary collaboration.
  • Such cases emphasize the need for preparedness in centers without specialized pediatric critical care resources.

Keywords:
food bolusneck lumpneurodevelopmental delaypaediatric agetracheal deviation

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