Successful removal of distal persistent foreign body airway with CO2 cryotherapy in a child.

Case report Child Cryotherapy FB, foreign body FBA, foreign body aspiration Flexible bronchoscopy Foreign body aspiration Granulation tissue

Journal

Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463

Informations de publication

Date de publication:
2022
Historique:
received: 20 07 2021
revised: 23 01 2022
accepted: 24 01 2022
entrez: 4 3 2022
pubmed: 5 3 2022
medline: 5 3 2022
Statut: epublish

Résumé

We report a case of a nine-year-old boy with clinical evidence of foreign body (FB) aspiration with 3 months of delay in diagnosis. The bronchoscopy found soft tissue FB with surrounding inflamed granulation tissue at the entrance to the lateral segmental bronchus. Repeated attempts to remove the FB with flexible forceps were unsuccessful due to friable FB and granulation tissue. Ablation of the granulation tissue using nitrous oxide cryotherapy was then successfully performed and the distal and organic FB was extracted. Early diagnosis is important for minimizing granulation tissue development which complicates FB removal. Cryotherapy with a flexible bronchoscope is an option if organic FB cannot be removed using conventional bronchoscopic instrumentation.

Identifiants

pubmed: 35242515
doi: 10.1016/j.rmcr.2022.101594
pii: S2213-0071(22)00016-8
pmc: PMC8866066
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101594

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Roser Ayats-Vidal (R)

Paediatric Pulmonology and Allergology Department. Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

Amalui Vásquez-Pérez (A)

Paediatric Pulmonology Department, Hospital Universitari Joan XXIII, Universitat Rovira i Virgili, Institut d'Investigació Sanitaria Pere Virgili, Spain.

Miguel Gallego-Díaz (M)

Department of Respiratory Medicine. Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

Antoni Rosell (A)

Centro de Investigación Biomédia en Red- Instituto Carlos III (isciii-CIBERES), Institut de Recerca Germans Trias i Pujol (IGTP), Universitat Autònoma de Barcelona (UAB), Thorax Insitute, Pulmonolgy Department, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.

Laura Valdesoiro-Navarrete (L)

Paediatric Pulmonology and Allergology Department. Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

Rachid Tazi-Mezalek (R)

Head of the Interventional Pulmonology Program, Bronchoscopy and Pleural disease Unit, Respiratory Department, Thorax Clinic Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.

Classifications MeSH