A YOUNG WOMAN WITH AN UNUSUAL FOREIGN BODY ASPIRATION

Authors

  • Tola Bayisa Tolessa Saint Paul's Hospital Millennium medical College
  • Amsalu Bekele Binegdie addis ababa university
  • Endale Kassa addis ababa university
  • charles sherman brown university, USA
  • Jane Carter Brown university, USA
  • Neil Schluger Columbia university
  • Otto Schoch Zurich university

Abstract

Foreign body aspiration is a worldwide health problem and often associated with life threatening complications. A high index of suspicion and careful history taking are important as symptoms can be non-specific and easily overlooked. There are no specific tests for diagnosis although chest imaging can be useful. Flexible bronchoscopy is often needed for diagnosis and treatment; however, rigid bronchoscopy may be necessary in certain situations. We report the case of young woman who accidentally aspirated an unusual sharp foreign body, requiring both flexible bronchoscopy and gastroscopy for ultimate removal.

 

Key words: Bronchoscopy,foreign body aspiration,hijab pins

 

Author Biographies

Tola Bayisa Tolessa, Saint Paul's Hospital Millennium medical College

internal medicine

Amsalu Bekele Binegdie, addis ababa university

internal medicine

Endale Kassa, addis ababa university

internal medicine

charles sherman, brown university, USA

pulmonary critical care division

Jane Carter, Brown university, USA

pulmonary/critical care medicine division

Neil Schluger, Columbia university

pulmonary critical care division

Otto Schoch, Zurich university

pulmonary critical care division

References

Swanson KL, Prakash UBS, McDougall JC et al. Airway foreign bodies in adults. J Bronchology Interv Pulmonol. 2003;10:107–11.

Limper AH, Prakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med. 1990; 112:604

Bekele A. Aerodigestive Foreign Bodies in Adult Ethiopian Patients: A Prospective Study at Tikur Anbessa Hospital, Ethiopia. Int J Otolaryngol. 2014; pp 1-5 (Article ID 293603)

Al-Sarraf N, Jamal-Eddine H, Khaja F, Ayed AK. Head scarf pin tracheobronchial aspiration: a distinct clinical entity. Interact Cardiovasc Thorac Sur. 2009; 9(2):187–90.

Lan RS, Lee CH, Chiang YC, Wang WJ. Use of fiberoptic bronchoscopy to retrieve bronchial foreign bodies in adults. Am Rev Respir Dis. 1989; 140(6): 1734-7.

Hilliard T, Sim R, Saunders M, Hewer SL, Henderson J. Delayed diagnosis of foreign body aspiration in children. Emerg Med J. 2003;20(1):100–1.

Qureshi A, Behzadi A. Foreign-body aspiration in an adult. Can J Surg. 2008; 51(3):E69–E70.

Willett LL, Barney J, Saylors G, Dransfield M. An unusual cause of chronic cough. Foreign body aspiration. J Gen Intern Med. 2006; 21(2):C1-3.

Wu TH, Cheng YL, Tzao C, Chang H, . Hsieh CM, Lee SC. Longstanding tracheobronchial foreign body in an adult, Respir Care 2012; 57(5): 808–10.

Ramos MB, A. Fernandez-Villar A, Rivo JE al. Extraction of airway foreign bodies in adults: experience from 1987–2008. Interact Cardiovasc Thorac Surg. 2009; 9(3): 402–5.

Boyd M, Chatterjee A, Chiles C, Chin R Jr. Tracheobronchial foreign body aspiration in adults. South Med J. 2009; 102(2): 171–4.

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Published

2017-09-20

How to Cite

Tolessa, T. B., Binegdie, A. B., Kassa, E., sherman, charles, Carter, J., Schluger, N., & Schoch, O. (2017). A YOUNG WOMAN WITH AN UNUSUAL FOREIGN BODY ASPIRATION. Ethiopian Medical Journal, 55(4). Retrieved from https://emjema.org/index.php/EMJ/article/view/481

Issue

Section

Case Report