Diagnostic challenges in paediatric foreign body aspiration: a case report

  • Inês Morais Centro Hospitalar Vila Nova de Gaia. Espinho, Portugal. http://orcid.org/0000-0002-0267-7117
  • Inês Sousa Centro Hospitalar Vila Nova de Gaia. Espinho, Portugal.
  • Carolina Terra Centro Hospitalar Universitário de Coimbra. Coimbra Portugal.
  • Ana Martins Centro Hospitalar Vila Nova de Gaia. Espinho, Portugal.
  • Tiago Pereira Centro Hospitalar Vila Nova de Gaia. Espinho, Portugal.
  • Vânia Costa Centro Hospitalar Vila Nova de Gaia. Espinho, Portugal.
Keywords: Foreign body, Aspiration, Paediatrics, Bronchology, Radiology

Abstract

Introduction: Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis.

Case Report: 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed.

Conclusions: A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.

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How to Cite
1.
Morais I, Sousa I, Terra C, Martins A, Pereira T, Costa V. Diagnostic challenges in paediatric foreign body aspiration: a case report. Colomb. j. anesthesiol. [Internet]. 2020Aug.19 [cited 2020Sep.25];49:e919. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/919

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Published
2020-08-19
How to Cite
1.
Morais I, Sousa I, Terra C, Martins A, Pereira T, Costa V. Diagnostic challenges in paediatric foreign body aspiration: a case report. Colomb. j. anesthesiol. [Internet]. 2020Aug.19 [cited 2020Sep.25];49:e919. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/919
Section
Case Report / Case Series