A novel bronchoscopic technique to remove a retained and obstructed foreign body

A three-year-old girl with a two-week history of choking and cough was admitted to Sultan Qaboos University Hospital with worsening respiratory distress. Computed tomography revealed obstructive emphysema in the right lower lobe of her lung. Diagnostic bronchoscopy (using a rigid bronchoscope of 4 m...

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Published inOman medical journal Vol. 37; no. 5; pp. 1 - 2
Main Authors Al Washahi, Mohammed, kolethekkat, Arif, Al Zaabi, Khalid, Al Badaai, Yahya
Format Journal Article
LanguageEnglish
Published Muscat, Oman Oman Medical Specialty Board 01.09.2022
OMJ
Subjects
Bronchi
Bronchoscopy
Clinical Note
Diseases
Foreign bodies
Lungs
Measurement
Oxygen in the body
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Summary:A three-year-old girl with a two-week history of choking and cough was admitted to Sultan Qaboos University Hospital with worsening respiratory distress. Computed tomography revealed obstructive emphysema in the right lower lobe of her lung. Diagnostic bronchoscopy (using a rigid bronchoscope of 4 mm internal diameter) identified an impacted metal pen cap wrapped in granulation tissue located at the entrance to the right secondary intermediate bronchus. The granulation tissue hindered further passage of the bronchoscope. Multiple attempts to remove the foreign body (FB) with rigid FB grasping forceps failed due to the inability to negotiate it through the granulation tissue which began to bleed due to the repeated manipulations.
Bibliography:Oman Medical Journal, Vol. 37, No. 5, Sep 2022, 1-2
Informit, Melbourne (Vic)
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1999-768X
2070-5204
DOI:10.5001/omj.2022.105