Open AccessMissed distal tracheal foreign body in consecutive bronchoscopies in a 6-year-old boy
Author(s) -
Oghenevware Joel Eyekpegha,
Uvie Ufuoma Onakpoya,
Perpetua O. Obiajunwa,
O. Famurewa,
AB Ogunrombi
Publication year - 2017
Publication title -
nigerian journal of surgery/nigerian journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 2278-7100
pISSN - 1117-6806
DOI - 10.4103/1117-6806.199957
Subject(s) - medicine , bronchoscopy , foreign body , rigid bronchoscopy , confusion , airway , foreign body aspiration , radiology , surgery , flexible bronchoscopy , foreign bodies , foreign body removal , psychology , psychoanalysis
It is unusual but not uncommon for foreign bodies to be missed at bronchoscopy. This case report highlights the importance of the clinical history in the diagnosis of aspirated foreign bodies and the usefulness of chest imaging modalities. A 6-year-old boy presented with recurrent breathlessness and cough of 2 months. He was said to have aspirated the base cap of a pen at about the time symptoms started. He had two sessions of rigid bronchoscopy and a session of flexible bronchoscopy at three different hospitals. He had an initial rigid bronchoscopy which failed to show the foreign body (FB). A chest computerized tomographic scan demonstrated the FB, which was retrieved at combined flexible/rigid bronchoscopy. Although rigid bronchoscopy is the gold standard for managing airway foreign bodies, there remains a false negative rate for this procedure and where necessary, appropriate imaging may compliment rigid bronchoscopy, especially where there is some confusion.