Case Report: Diagnosis and Management of Pin-Headscarf at The Bronchial Segment In RSUP Dr. M Djamil Padang

  • Wahyu Julianda Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Andalas University/ Dr. M. Djamil General Hospital, Padang, Indonesia
  • Ade Asyari Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Andalas University/ Dr. M. Djamil General Hospital, Padang, Indonesia

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

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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: 27 may 2024. doi: https://doi.org/10.19184/ams.v7i3.24494.
Section
Case Report Article