An unusual case of foreign body aspiration and review of the literature

ŞENTÜRK, Ekrem; ŞEN, Serdar

An unusual case of foreign body aspiration and review of the literature

Ekrem ŞENTÜRK, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Aydın, Türkiye)

Serdar ŞEN (Adnan Menderes Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Aydın, Türkiye)

Tüberküloz ve Toraks

2 0

Yıl: 2011 Cilt: 59 Sayı: 2 Sayfa Aralığı: 173 - 177 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An unusual case of foreign body aspiration and review of the literature

Öz:

Trakeobronşiyal yabancı cisim aspirasyonları, her yaş grubunda görülebilen, acil tanı ve müdahale gerektiren bir sağlık problemidir. Yabancı cisim aspirasyonlarının hiçbir klinik bulgu olmayabileceği gibi öksürük, nefes darlığı, hemoptizi ve solunumsal arreste varan geniş bir semptom marjı vardır. Yedi yıl önce skuamoz hücreli karsinoma tanısıyla total larenjektomi geçiren 72 yaşındaki erkek olgu, trakeostomi kanülünün nefes borusuna kaçması şikayetiyle acil servise başvurmuştu. Fizik muayene ve akciğer grafisinde hiçbir bulgu saptanamayan olgu; anamnezindeki güvensizlik nedeniyle acil hekimi ve konsülte eden göğüs hastalıkları hekimi tarafından acil müdahale gerekmediği, yanılmış olabileceği söylenerek poliklinik kontrolü önerilerek taburcu edilmişti. Ertesi gün göğüs cerrahisi polikliniğinde fizik muayene ve akciğer grafisi ile değerlendirilen olguda patoloji saptanmadı. Ancak çekilen toraks bilgisayarlı tomografisinde sol ana bronşta bronşun şeklini alan ve obstrüksiyona neden olmayan kanül saptandı. Sedoanaljezi eşliğinde rijid bronkoskopi ile kanül forseps yardımıyla çıkarıldı ve olgu ertesi gün sorunsuz taburcu edildi. Sonuç olarak; etyoloji ve patogenezin bilinmesi olguya yaklaşım zamanı ve şeklini belirlemede yararlıdır. Yabancı cisim şüphesi olan olguda muayene ve akciğer bulguları yeterli olmayabilir, toraks bilgisayarlı tomografi ve tanı konamıyorsa bronkoskopi mutlaka yapılmalıdır. Fleksibl bronkoskopi tanısal amaçlı kullanılabilmekte, küçük ve uygun yabacı cisimlerin çıkarılmasında öncelikli olmaktadır. Çocuklarda, komplike olgularda, penetran veya amorf şekilli yabancı cisimlerin çıkarılmasında rijid bronkoskopi seçilmelidir.

Anahtar Kelime:

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Nadir bir yabancı cisim aspirasyonu ve literatüre bakış

Öz:

Tracheobronchial foreign body aspiration is a health problem that can be seen in all age groups, and it requires urgent diagnosis and intervention. We report a case of an unusual foreign body aspiration in a laryngectomized patient and we aim to discuss this situation according to the literature. A 72-year-old man, who underwent total laryngectomy 7 years ago for a squamous cell carcinoma of the larynx, was reported with complaint of aspiration of a silicone tracheostomy canula. Foreign body aspiration can present with a wide variety of symptoms. Although it is sometimes asymptomatic, mostly there exists cough, dispnea, hemoptisis and even respiratory arrest. Clinical history and radiological examinations are enough for the diagnose but in some cases, it is difficult to diagnose even by bronchoscopy. In this report, ethiology, pathogenesis, clinical presentation, diagnose and treatment of foreign body aspirations are discussed under the light of the literature. Ethiology and pathogenesis are beneficial for the assessment of treatment time and method. Appropriate and ontime clinical intervention makes the diagnosis to be easier. Treatment timing and methods are important to prevent the complications. Flexible bronchoscopy can be used for the diagnose and is preferential to remove small and fit foreign bodies. For children, for complicated cases and in order to remove penetrating or amorph-shaped bodies rigit bronchoscopy should be preferred.

Anahtar Kelime:

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. Midulla F, Guidi R, Barbato A, et al. Foreign body aspiration in children. Pediatr Int 2005; 47: 663-8.
2. Steen KH, Zimmermann TH. Tracheobronchial aspirated of foreign bodies in children: a study of 94 cases. Laryngoscope 1990; 100: 525-30.
3. Ciftci A, Bingol-Kologlu M, Senocak ME, Tanyel FC, Buyukpamukcu N. Bronchoscopy for evaluation of foreign body aspiration in children. J Ped Surg 2003; 38: 1170-6.
4. Friedman EM. Tracheobronchial foreign bodies. Otolaryngol Clin North Am 2000; 33: 179-85.
5. Black RE, Choi KJ, Syme WC, et al. Bronchoscopic removal of aspirated foreign bodies in children. Am J Surg 1984; 148: 778-81.
6. Manto PC, Tuggle DW, Tunell WP. An appropriate negative bronchoscopy rate in suspected foreign body aspiration. Am J Surg 1989; 158: 622-4.
7. Marquette CH, Martinot A. Foreign body removal in adults and children. In: Bolliger CT (ed). Interventional bronchoscopy. Basel: S Karger AG, 2000: 96-107.
8. Baharloo F, Veyckemans F, Francis C. Tracheobronchial foreign bodies presentation and management in children and adults. Chest 1999; 115: 1357-62.
9. Nakhosteen JA. Tracheobronchial foreign bodies. Eur Respir J 1994; 7: 429-30.
10. Swanson KL, Prakash UBS, Midthun DE. Flexible bronchoscopic management of airway foreign bodies in children. Chest 2002; 121: 1695-700.
11. Chen CH, Lai CL, Tsai TT, et al. Foreign body aspiration into the lower airway in Chinese adults. Chest 1997; 112: 129-33.
12. Uzaslan E, Ursavas A, Ediger D, Karadag M. An unusual way of tracheal stoma cleaning could end up with foreign body aspiration in a laryngectomized patient. Tuberk Toraks 2005; 53: 61-4.
13. Erdozain Rodriguez I, Sanchez Galan L, Zabaleta Lopez M, Sanchez del Hoyo A. Am tracheobronchial foreign body in the laryngectomized patient. An Otorrinolaringol Ibero 1998; 25: 185-92.
14. Krempl GA, Otto RA. Fracture at fenestration of synthetic tracheostomy tube resulting in a tracheobronchial airway foreign body. South Med J 1999; 92: 526-8.
15. Rafanan AL, Mehta AC. Adult airway foreign body removal. What’s new? Clin Chest Med 2001; 22: 319-30.
16. Dikensoy O, Usalan C, Filiz A. Foreign body aspiration: clinical utility of flexible bronchoscopy. Postgrad Med J 2002; 78: 399-403.
17. Celik P, Yorgancıoglu A, Celik O. Laringotrakeobronsial yabanci cisim aspirasyonu. KBB Klinikleri 2000; 2: 50-6.
18. Eliashar R, Sichel JY, Dano I, Saah D. Foreign body aspiration in a laryngectomized patient. Am J Emerg Med 1998; 16: 103-4.
19. Yılmaz A, Akkaya ED, Damadoglu E, Gungor S. Occult Bronchial body aspiration in adults: analysis of four cases. Respirology 2004; 9: 561-3.
20. Bodart E, de Biderling G, Tuerlinckx D, Gillet JB. Foreign body aspiration in childhood: management algorithm. Eur J Emerg Med 1999; 6: 21-5.
21. Metrangelo S, Monetti C, Meneghini L. Eight years experience with foreign body aspiration in children: what is really important for timely diagnosis? J Ped Surg 1999; 34: 1229- 31.
22. Saquib MM, Rauf KA, Al-Bassam A. Late presentation of tracheobronchial foreign body aspiration in children. J Trop Pediatr 2005; 51: 145-8.
23. Silvia AB, Muntz HR, Clary R. Utility of coventional radiography in the diagnosis and management of pediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998; 107: 834-8.
24. Yıldırım M, Dogusoy I, Okay T, et al. Trakeobronsial yabanci cisimler. TGKDCD 2003; 11: 228-31.
25. Kolbakır F, Kecelioglu T, Arikan A ve ark. Yabanci cisim aspirasyonu suphesiyle bronkoskopi yapilan 152 vakanin retrospektif analizi. TGKDCD 1994; 2: 2-6.
26. Mathur NN, Pradhan T. Rigid pediatric bronchoscopy for bronchial foreign bodies with and without Hopkins telescope. Indian Pediatrics 2003; 46: 761-5.
27. Limper AH, Parakash UBS. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990;112: 604-9.
28. Kisacik E, Gulhan E, Sirmali M, Sarica E ve ark. Trakeobronsiyal Yabanci Cisim Aspirasyonlari: 261 Olgunun Analizi. Solunum Dergisi 2004; 2: 86-91.
29. Karakoc F, Cakir E, Ersu R, et al. Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms. Int J Pediatr Otorhinolaryngol 2007; 71: 241-6.
30. Eren S, Balci A, Dikici B, Doblan M, Eren MN. Foreign body aspiration in children: experience of 1160 cases. Ann Trop Paed 2003; 23:31-7.
31. Findlay CA, Morrissey S, Paton JY. Subcutaneous emphysema secondary to foreign body aspiration. Ped Pulmon 2003; 36: 81-2.
32. Pasteur M, Helliwell S, Houghton S, Webb SC, Foweraker JE, Coulden RA, et al. An investigation into causative factors in patients with bronchiectasis. Am J Respir Crit Care Med 2000; 162: 1277-84.
33. Pogorzelski A, Zebrak J, Pawlik J, Cherian Z, Buchwald J. Broncho-pulmonary comlications due to aspiration of foreign bodies by children. Pediatr Pol 1995; 70: 325-31.
34. Cataneo AJ, Reibscheid SM, Ruiz Junior RL, Ferrari GF. Foreign body in the tracheobronchial tree. Clin Pediatr 1997; 36: 701-6.
35. Amir K, Ron S, Moshe G, Isaak S. Persistent cough and failure to thrive: a presentation of foreign body aspiration in a child with asthma. Pediatrics 2006; 117: 1057-60.
36. Zuniga S, De Manana M, Monge M, et al. Vegetal foreign body in the airway: an unusual cause of hemoptysis in childhood: clinical case. Rev Med Chil 2000; 128: 323-9.
37. Tokar B, Ozkan R, Ilhan H. Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clin Radiol 2004; 59: 609-15.
38. Sahni JK, Mathur NN, Kansal Y, Rana I. Bronchial foreign body presenting as an accidental radiological finding. Int J Pediatr Otorhinolaryngol 2002; 64: 229-32.

APA	ŞENTÜRK E, ŞEN S (2011). An unusual case of foreign body aspiration and review of the literature. , 173 - 177.
Chicago	ŞENTÜRK Ekrem,ŞEN Serdar An unusual case of foreign body aspiration and review of the literature. (2011): 173 - 177.
MLA	ŞENTÜRK Ekrem,ŞEN Serdar An unusual case of foreign body aspiration and review of the literature. , 2011, ss.173 - 177.
AMA	ŞENTÜRK E,ŞEN S An unusual case of foreign body aspiration and review of the literature. . 2011; 173 - 177.
Vancouver	ŞENTÜRK E,ŞEN S An unusual case of foreign body aspiration and review of the literature. . 2011; 173 - 177.
IEEE	ŞENTÜRK E,ŞEN S "An unusual case of foreign body aspiration and review of the literature." , ss.173 - 177, 2011.
ISNAD	ŞENTÜRK, Ekrem - ŞEN, Serdar. "An unusual case of foreign body aspiration and review of the literature". (2011), 173-177.

APA	ŞENTÜRK E, ŞEN S (2011). An unusual case of foreign body aspiration and review of the literature. Tüberküloz ve Toraks, 59(2), 173 - 177.
Chicago	ŞENTÜRK Ekrem,ŞEN Serdar An unusual case of foreign body aspiration and review of the literature. Tüberküloz ve Toraks 59, no.2 (2011): 173 - 177.
MLA	ŞENTÜRK Ekrem,ŞEN Serdar An unusual case of foreign body aspiration and review of the literature. Tüberküloz ve Toraks, vol.59, no.2, 2011, ss.173 - 177.
AMA	ŞENTÜRK E,ŞEN S An unusual case of foreign body aspiration and review of the literature. Tüberküloz ve Toraks. 2011; 59(2): 173 - 177.
Vancouver	ŞENTÜRK E,ŞEN S An unusual case of foreign body aspiration and review of the literature. Tüberküloz ve Toraks. 2011; 59(2): 173 - 177.
IEEE	ŞENTÜRK E,ŞEN S "An unusual case of foreign body aspiration and review of the literature." Tüberküloz ve Toraks, 59, ss.173 - 177, 2011.
ISNAD	ŞENTÜRK, Ekrem - ŞEN, Serdar. "An unusual case of foreign body aspiration and review of the literature". Tüberküloz ve Toraks 59/2 (2011), 173-177.