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Case Reports
. 2017 Jan-Jun;23(1):67-70.
doi: 10.4103/1117-6806.199957.

Missed Distal Tracheal Foreign Body in Consecutive Bronchoscopies in a 6-year-old Boy

Oghenevware Joel Eyekpegha  1 , Uvie U Onakpoya  2 , Perpetua O Obiajunwa  3 , Olusola C Famurewa  4 , Akinwumi B Ogunrombi  2
Affiliations
Case Reports

Missed Distal Tracheal Foreign Body in Consecutive Bronchoscopies in a 6-year-old Boy

Oghenevware Joel Eyekpegha et al. Niger J Surg. 2017 Jan-Jun.

Abstract

It is unusual but not uncommon for foreign bodies to be missed at bronchoscopy. This case report highlights the importance of the clinical history in the diagnosis of aspirated foreign bodies and the usefulness of chest imaging modalities. A 6-year-old boy presented with recurrent breathlessness and cough of 2 months. He was said to have aspirated the base cap of a pen at about the time symptoms started. He had two sessions of rigid bronchoscopy and a session of flexible bronchoscopy at three different hospitals. He had an initial rigid bronchoscopy which failed to show the foreign body (FB). A chest computerized tomographic scan demonstrated the FB, which was retrieved at combined flexible/rigid bronchoscopy. Although rigid bronchoscopy is the gold standard for managing airway foreign bodies, there remains a false negative rate for this procedure and where necessary, appropriate imaging may compliment rigid bronchoscopy, especially where there is some confusion.

Keywords: Bronchoscopy; foreign body; trachea.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Chest computerized tomography scan showing foreign body located just above the carina (straight arrow)
Figure 2
Figure 2
Object removed at bronchoscopy
Figure 3
Figure 3
Object as seen in its unaltered state
See this image and copyright information in PMC

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