DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20180736

Pill in the left bronchus-pediatric foreign body aspiration: a case report

Raghul Sekar, Karthikeyan Ramasamy, Hegde Jyotirmay, Arun Alexander, Sunil Kumar Saxena

Abstract


Pediatric population is more prone for accidents such as foreign body aspiration. It is an important and preventable cause of mortality and morbidity in children. Pill aspiration is one of the rare causes foreign body aspiration in both children and adults. History is crucial and can guide treatment in case of foreign body aspiration. We present a 5 year old child who had history and examination suggestive of pneumonia which turned out to be a foreign body in left bronchus on computed tomography. The foreign body was a half broken tablet of Co-trimoxazole removed by rigid bronchoscopy without any complication. The child’s symptoms improved satisfactorily following removal. 


Keywords


Foreign body, Bronchus, Pill

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References


Rodríguez H, Passali GC, Gregori D, Chinski A, Tiscornia C, Botto H, et al. Management of foreign bodies in the airway and oesophagus. Int J Pediatr Otorhinolaryngol. 2012;76 Suppl 1:S84-S91.

Sahin A, Meteroglu F, Eren S, Celin Y. Inhalation of foreign bodies in children: experience of 22 years. J Trauma Acute Care Surg. 2013;74:658-63.

Rimell FL, Thome A Jr, Stool S, Reilly JS, Rider G, Stool D, et al. Characteristics of objects that cause choking in children. JAMA. 1995;274(22):1763-6.

Sinha V, Talagauara Umesh S, Jha SG. Rigid Bronchoscopy in Pediatric Patients. Indian J Otolaryngol Head Neck Surg. 2017;69(4):449-52.

Mapelli E, Sabhaney V. Stridor and drooling in infants and children. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM, eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide. 8th ed. New York, NY: McGraw-Hill Education; 2015: 123.

Al-Hilau R. Inhalation of foreign bodies by children: Review of experience with 74 cases from Dubai. J Laryngol Otol. 1991;105:466–70.

Stradling P. Diagnostic bronchoscopy, 6th edn. Churchill Livingstone, Edinburgh; 1991: 3.

Mehta AC, Khemasuwan D. A foreign body of a different kind: Pill aspiration. Ann Thorac Med. 2014;9:1-2.

Caterino U, Battistoni P, Batzella S, Iacono RD, Lucantoni G, Galluccio G. Syndrome of iron pill inhalation in four patients with accidental tablet aspiration: Severe airway complications are described. Respiratory Med Case Rep. 2015;15:33-5.