Chest X ray radioscopy, a great alliance with bronchoscopy in complex cases of foreign bodies aspiration. Dra. Di Blasio Andrea V. - Dra Boailchuk Ivanna Ricardo Gutierrez Children Hospital – Respiratory Endoscopy Department. Argentina
AV. Di Blasio*a (Dr), I. Boailchuka (Dr)
a RICARDO GUTIERREZ CHILDREN HOSPITAL, Buenos Aires, ARGENTINA
* andrejunin2008@hotmail.com
Foreign body aspiration is a common event in children, and can lead to significant morbimortality. Most frequently in under 3, with immature anatomical and physiological structure, in addition to the easy access to small element to play, in spite of parents’ care. Is recommended a rapid clinical examination diagnosis, with or without complementary methods, for the extraction. In Children Hospital Ricardo Gutierrez, mostly extraction are with a rigid bronchoscopy technic under general anesthesia, using indicate tool for each. In a particular case, a 2-year-old patient, was admitted to the emergency department because of an event a week before, of aspiration foreign bodies, and severe respiratory symptoms. With poor information in a chest x ray, rigid bronchoscopy was performed and the foreign body in main right bronchus was an irregular rounded with smooth edge stone. It was 2 cm long and almost 2 cm wide. No manual nippers were adequate to take the stone out of the patient airway. We use radioscopy and foley catheter. The technique consists in placing the Foley’s balloon passing by the stone. Radioscopy as a method to locate the correct position of the balloon, using radiopaque substance to fill it. Inflated Foley’s balloon making it like a stopper to carry the stone back. The image was monitored and filmed with the traditional x ray radioscopy.
Conclusion: Rare foreign body aspiration required bronchoscopy to resolved. But sometimes may require different and unusual techniques, to achieve the extraction. In spite of an old method, chest x ray radioscopy with radiopaque substance is a perfect tool to work jointly with bronchoscopy for a successful result.
Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children, Murat Oncel, 2012 Aug
Radiodensity on serial chest X-rays for the diagnosis of foreign body aspiration in children, Eun Song Song, 2015 Aug
Disclosure of funding source(s): none