Foreign body aspiration in a child with unilateral lung aplasia

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Kiran NandalikeAlfin G Vicencio

Abstract

To present a case of foreign body aspiration in a child with unilateral lung aplasia and successful removal of the foreign body by bedside flexible bronchoscopy. Case details were obtained from medical records. Eighteen-month-old girl with unilateral lung aplasia. Demographic details (age) and clinical and biochemical data (blood gas) were obtained from medical records. An 18-mo-old girl with the diagnosis of right lung aplasia, who underwent aortopexy in the newborn period for severe respiratory distress, presented with acute-onset respiratory distress. The patient was treated with bronchodilators and steroids without success and rapidly progressed to respiratory failure. Flexible bronchoscopy done at the bedside showed a foreign body completely obstructing the left main bronchus. The rigid bronchoscopy was unsuccessful in extracting the foreign body because of the complex airway anatomy. The foreign body was successfully extracted by basket forceps via a flexible bronchoscope, and the patient recovered remarkably within few hours of the procedure. Because foreign body aspiration in a child with a unilateral lung can result in abrupt respiratory compromise and death, a high index of suspicion is necessary when these children p...Continue Reading

References

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Citations

Feb 13, 2014·International Journal of Pediatric Otorhinolaryngology·Rickul VarshneyYolene Lacroix
Jul 6, 2016·Pediatric Pulmonology·Mikhail Kazachkov, Alfin Vicencio

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