Pneumonectomy in a child due to belated diagnosis of foreign body aspiration: a case report

Introduction With early diagnosis, fiberoptic or rigid bronchoscopy methods are the gold standard in the management of tracheobronchial foreign body. Otherwise, nonrecognized bronchial foreign bodies cause irreversible damage to the airways and lungs. The deficiency of the health system noted in man...

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Bibliographic Details
Published in:Journal of medical case reports 2021-10, Vol.15 (1), p.1-533, Article 533
Main Authors: Razafimanjato, Narindra N. M, Ralaivao, Rindra A, Ravelomihary, Tsiry D. N, Hunald, Francis A, Rakotovao, Jean Louis H
Format: Article
Language:English
Subjects:
Anesthesia
Aspiration
Bronchoscopy
Case Report
Case reports
Children
Children & youth
Developing countries
Elementary schools
Equipment and supplies
Fiber optics
Foreign bodies
Health aspects
Hemoptysis
Madagascar
Medical diagnosis
Morbidity
Mortality
Ostomy
Oxygen saturation
Patients
Pneumonectomy
Pneumonia
Risk factors
Substance abuse treatment
Surgery
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Summary:Introduction With early diagnosis, fiberoptic or rigid bronchoscopy methods are the gold standard in the management of tracheobronchial foreign body. Otherwise, nonrecognized bronchial foreign bodies cause irreversible damage to the airways and lungs. The deficiency of the health system noted in many developing countries such as Madagascar, combined with the fundamental problem relating to children's conditions, which are determined by social and educational factors, makes it almost impossible to provide early and appropriate management of the penetration syndrome. Case presentation An 11-year-old Malagasy female patient was referred to our hospital for an investigation of the etiology of the patient's hemoptysis. The investigations revealed a localized bronchiectasis and atelectasis due to a foreign body obstructing the left main bronchus. Based on the hemoptysis and left lung almost destroyed by an occlusive lesion within, we decided to proceed with left pneumonectomy. A retrospective interrogation revealed a choking episode 4 years prior in elementary school after the child sucked on a pen cap and involuntarily aspirated it. Two years after the pneumonectomy, our patient was doing well and was asymptomatic. Conclusion In this case report, we describe a rare case of a late presentation of foreign body aspiration that resulted in a left pneumonectomy in a child. Despite our favorable results, pneumonectomy must be the preferred last option. Preventive actions remain the optimal approach. Keywords: Foreign bodies, Pneumonia, Aspiration, Children, Morbidity, Mortality, Pneumonectomy
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-021-03015-w