Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang
Abstract
Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy.
Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy
References
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Boufersaoui, A., Smati, L., Benhalla, K. N., Boukari, R., Smail, S., Anik, K., … Baghriche, M. (2013). Foreign body aspiration in children : Experience from 2624 patients. International Journal of Pediatric Otorhinolaryngology, 1–6. https://doi.org/10.1016/j.ijporl.2013.07.026
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Kaptanoglu, M., Dogan, K., Onen, A., & Kunt, N. (1999). Turban pin aspiration; A potential risk for young Islamic girls. International Journal of Pediatric Otorhinolaryngology, 48(2), 131–135. https://doi.org/10.1016/S0165-5876(99)00020-8
Kaur, H., & Aggarwal, A. (2019). Bronchoscopy : Foreign Body Aspiration, A Case Report. International Journal of Current Research, 11(12), 8735–8737.
Marshall, E. S., & Mark, R. E. (2016). Bronchology. In Ballengers Otorhinolaryngology Head and Neck Surgery (18th ed., pp. 1253–1265). Connecticut: People Medical Publishing.
Midulla, F., Guidi, R., Barbato, A., Capocaccia, P., Forenza, N., Marseglia, G., … De Benedictis, F. M. (2005). Foreign body aspiration in children. Pediatrics International, 47(6), 663–668. https://doi.org/10.1111/j.1442-200x.2005.02136.x
Minnich, D. J., & Mathisen, D. J. (2007). Anatomy of the Trachea, Carina, and Bronchi. Thoracic Surgery Clinics, 17(4), 571–585. https://doi.org/10.1016/j.thorsurg.2006.12.006
Mise, K., Savicevic, A. J., Pavlov, N., & Jankovic, S. (2009). Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: Experience 1995-2006. Surgical Endoscopy, 23(6), 1360–1364. https://doi.org/10.1007/s00464-008-0181-9
Moehrle, N. P., & Jagannathan, N. (2015). Management of foreign body aspiration in pediatric and adult patients. In L. Berkow, C & J. Sakles, C (Eds.), Cases in Emergency Airway Management (pp. 79–88). Cambridge University Press.
Nakhjavani N. Esmacilidooki M. (2015). Aspiration of a sharp metallic pin in a child : A case report Case Report. Caspian Journal of Pediatrics, March, 2(April), 118–121.
Pons, F., Lang-Lazdunski, L., De Kerangal, X., Chapuis, O., Bonnet, P. M., & Jancovici, R. (2002). The role of videothoracoscopy in management of precordial thoracic penetrating injuries. European Journal of Cardio-Thoracic Surgery, 22(1), 7–12. https://doi.org/10.1016/S1010-7940(02)00248-8
Rizk, N., Gwely, N. E., Biron, V. L., & Hamza, U. (2014). Metallic hairpin inhalation: a healthcare problem facing young Muslim females. Journal of Otolaryngology - Head & Neck Surgery = Le Journal d’oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, 43(October 2006), 21. https://doi.org/10.1186/s40463-014-0021-y
Saikat, S. (2015). Post-operative pulmonary complications after thoracotomy. Indian Journal of Anaesthesia, 618–626.
Sehgal, I. S., Dhooria, S., Ram, B., Singh, N., Aggarwal, A. N., Gupta, D., … Agarwal, R. (2015). Foreign body inhalation in the adult population: Experience of 25,998 Bronchoscopies and systematic review of the literature. Respiratory Care, 60(10), 1438–1448. https://doi.org/10.4187/respcare.03976
Taha, A. Y. (2013). The use of fiberoptic bronchoscope to remove aspirated tracheobronchial foreign bodies: Our experience. Case Reports in Clinical Medicine, 02(05), 285–290. https://doi.org/10.4236/crcm.2013.25077
Ali Hais Elamery, I. (2019). Head Scurf pin Aspiration, A sub type of Foreign Body Aspiration. Diyala Journal of Medicine, 16(2), 101–106. https://doi.org/10.26505/djm.16024470122
Andrew, H, L., & Udaya, B, S, P. (1990). Tracheobronchial foreign bodies in adults. Annals of Internal Medicine, 112, 604–609. https://doi.org/10.11604/pamj.2014.19.220.4952
Asaf, B. Bin, Vijay, C., Bishnoi, S., Dua, N., & Kumar, A. (2017). Thoracoscopic foreign body removal and repair of bronchus intermedius following injury during failed bronchoscopic retrieval. Lung India, 34(2), 182–184. https://doi.org/10.4103/0970-2113.201296
Behera, G., Tripathy, N., Maru, Y. K., Mundra, R. K., Gupta, Y., & Lodha, M. (2014). Role of virtual bronchoscopy in children with a vegetable foreign body in the tracheobronchial tree. Journal of Laryngology and Otology, 128(12), 1078–1083. https://doi.org/10.1017/S0022215114002837
Boufersaoui, A., Smati, L., Benhalla, K. N., Boukari, R., Smail, S., Anik, K., … Baghriche, M. (2013). Foreign body aspiration in children : Experience from 2624 patients. International Journal of Pediatric Otorhinolaryngology, 1–6. https://doi.org/10.1016/j.ijporl.2013.07.026
Crane, M. D. (2019). Foreign body aspiration. Journal of the American Academy of Physician Assistants, 32(7), 48–49. https://doi.org/10.1097/01.JAA.0000558368.93609.08
Dong, Y. C., Zhou, G. W., Bai, C., Huang, H. D., Sun, Q. Y., Huang, Y., ... Li, Q. (2012). Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: Experience with 200 cases in china. Internal Medicine, 51(18), 2515–2519. https://doi.org/10.2169/internalmedicine.51.7672
Dutta, R., Kumar, A., Das, C. J., & Jindal, T. (2010). Emergency video-assisted thoracoscopic foreign body removal and decortication of lung after chest trauma. General Thoracic and Cardiovascular Surgery, 58(3), 155–158. https://doi.org/10.1007/s11748-009-0490-5
Fenane, H., Bouchikh, M., Bouti, K., Maidi, M. E. L., Ouchen, F. F., Mbola, T. O., … Benosman, A. (2015). Scarf pin inhalation: Clinical characteristics and surgical treatment. Journal of Cardiothoracic Surgery, 10(1), 1–4. https://doi.org/10.1186/s13019-015-0268-z
Hainer, F., Klauß, W., Wünsch, L., & Tüshaus, L. (2016). The turban pin aspiration syndrome: Awareness for a subtype of foreign body aspiration. Journal of Pediatric Surgery Case Reports, 7, 28–30. https://doi.org/10.1016/j.epsc.2016.02.006
Hamad, A. M. M., Elmistekawy, E. M., & Ragab, S. M. (2010). Headscarf pin, a sharp foreign body aspiration with particular clinical characteristics. European Archives of Oto-Rhino-Laryngology, 267(12), 1957–1962. https://doi.org/10.1007/s00405-010-1295-y
Hasdiraz, L., Bicer, C., Bilgin, M., & Oguzkaya, F. (2006). Turban pin aspiration: Non-asphyxiating tracheobronchial foreign body in young islamic women. Thoracic and Cardiovascular Surgeon, 54(4), 273–275. https://doi.org/10.1055/s-2006-923954
Hasdiraz, Leyla, Oguzkaya, F., Bilgin, M., & Bicer, C. (2006). Complications of bronchoscopy for foreign body removal: Experience in 1035 cases. Annals of Saudi Medicine, 26(4), 283–287. https://doi.org/10.5144/0256-4947.2006.283
Hewlett, J. C., Rickman, O. B., Lentz, R. J., Prakash, U. B., & Maldonado, F. (2017). Foreign body aspiration in adult airways: Therapeutic approach. Journal of Thoracic Disease, 9(9), 3398–3409. https://doi.org/10.21037/jtd.2017.06.137
Kaptanoglu, M., Dogan, K., Onen, A., & Kunt, N. (1999). Turban pin aspiration; A potential risk for young Islamic girls. International Journal of Pediatric Otorhinolaryngology, 48(2), 131–135. https://doi.org/10.1016/S0165-5876(99)00020-8
Kaur, H., & Aggarwal, A. (2019). Bronchoscopy : Foreign Body Aspiration, A Case Report. International Journal of Current Research, 11(12), 8735–8737.
Marshall, E. S., & Mark, R. E. (2016). Bronchology. In Ballengers Otorhinolaryngology Head and Neck Surgery (18th ed., pp. 1253–1265). Connecticut: People Medical Publishing.
Midulla, F., Guidi, R., Barbato, A., Capocaccia, P., Forenza, N., Marseglia, G., … De Benedictis, F. M. (2005). Foreign body aspiration in children. Pediatrics International, 47(6), 663–668. https://doi.org/10.1111/j.1442-200x.2005.02136.x
Minnich, D. J., & Mathisen, D. J. (2007). Anatomy of the Trachea, Carina, and Bronchi. Thoracic Surgery Clinics, 17(4), 571–585. https://doi.org/10.1016/j.thorsurg.2006.12.006
Mise, K., Savicevic, A. J., Pavlov, N., & Jankovic, S. (2009). Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: Experience 1995-2006. Surgical Endoscopy, 23(6), 1360–1364. https://doi.org/10.1007/s00464-008-0181-9
Moehrle, N. P., & Jagannathan, N. (2015). Management of foreign body aspiration in pediatric and adult patients. In L. Berkow, C & J. Sakles, C (Eds.), Cases in Emergency Airway Management (pp. 79–88). Cambridge University Press.
Nakhjavani N. Esmacilidooki M. (2015). Aspiration of a sharp metallic pin in a child : A case report Case Report. Caspian Journal of Pediatrics, March, 2(April), 118–121.
Pons, F., Lang-Lazdunski, L., De Kerangal, X., Chapuis, O., Bonnet, P. M., & Jancovici, R. (2002). The role of videothoracoscopy in management of precordial thoracic penetrating injuries. European Journal of Cardio-Thoracic Surgery, 22(1), 7–12. https://doi.org/10.1016/S1010-7940(02)00248-8
Rizk, N., Gwely, N. E., Biron, V. L., & Hamza, U. (2014). Metallic hairpin inhalation: a healthcare problem facing young Muslim females. Journal of Otolaryngology - Head & Neck Surgery = Le Journal d’oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, 43(October 2006), 21. https://doi.org/10.1186/s40463-014-0021-y
Saikat, S. (2015). Post-operative pulmonary complications after thoracotomy. Indian Journal of Anaesthesia, 618–626.
Sehgal, I. S., Dhooria, S., Ram, B., Singh, N., Aggarwal, A. N., Gupta, D., … Agarwal, R. (2015). Foreign body inhalation in the adult population: Experience of 25,998 Bronchoscopies and systematic review of the literature. Respiratory Care, 60(10), 1438–1448. https://doi.org/10.4187/respcare.03976
Taha, A. Y. (2013). The use of fiberoptic bronchoscope to remove aspirated tracheobronchial foreign bodies: Our experience. Case Reports in Clinical Medicine, 02(05), 285–290. https://doi.org/10.4236/crcm.2013.25077
Published
2021-10-31
How to Cite
JULIANDA, Wahyu; ASYARI, Ade.
Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang.
Journal of Agromedicine and Medical Sciences, [S.l.], v. 7, n. 3, p. 125-130, oct. 2021.
ISSN 2714-5654.
Available at: <https://jurnal.unej.ac.id/index.php/JAMS/article/view/24494>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.19184/ams.v7i3.24494.
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Section
Case Report Article
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