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Massive hemoptysis associated with foreign body removal

J R Rees

    Chest
    |September 1, 1985
    PubMed

    Insights

    Life-threatening bleeding occurred after removing a long-term endobronchial foreign body in a child. Medical teams must prepare for this severe bleeding complication before foreign body removal.

    Area of Science:

    • Pediatric Pulmonology
    • Interventional Pulmonology
    • Emergency Medicine

    Background:

    • Foreign body aspiration is a common pediatric emergency.
    • Prolonged presence of tracheobronchial foreign bodies can lead to complications.
    • Endobronchial foreign bodies pose significant risks during removal.

    Observation:

    • A 12-year-old child experienced exsanguinating hemoptysis (severe bleeding) during the removal of an endobronchial foreign body.
    • The foreign body had been present in the tracheobronchial tree for an extended period.

    Findings:

    • Foreign body removal, especially after prolonged sojourn, carries a risk of severe hemorrhage.
    • Immediate and aggressive management is crucial for exsanguinating hemoptysis post-foreign body removal.

    Implications:

    • Clinicians should anticipate and prepare for potential life-threatening bleeding complications prior to removing endobronchial foreign bodies.
    • Enhanced preparedness can improve patient outcomes in cases of foreign body removal complications.
    • This case highlights the critical need for vigilance and readiness in managing airway foreign bodies.

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