Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)

The article describes a rare case of a foreign body removal from the tracheobronchial tree of a child. In the acute period of aspiration, the girl developed severe hypoxia, a terminal condition caused by the standing of a foreign body in the infraglottic space, a spasm of the vocal cords and obstruc...

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Autores principales:	V. N. Stalmahovich, E. V. Sapukhin, A. P. Dmitrienko, A. A. Dukov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	children bronchus and trachea foreign body Science Q
Acceso en línea:	https://doaj.org/article/febaf9a71e3e4ce792d081e3f7d1f991
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spelling	oai:doaj.org-article:febaf9a71e3e4ce792d081e3f7d1f9912021-11-23T06:14:42ZForeign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)2541-94202587-959610.29413/ABS.2019-4.2.22https://doaj.org/article/febaf9a71e3e4ce792d081e3f7d1f9912019-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2060https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article describes a rare case of a foreign body removal from the tracheobronchial tree of a child. In the acute period of aspiration, the girl developed severe hypoxia, a terminal condition caused by the standing of a foreign body in the infraglottic space, a spasm of the vocal cords and obstruction of the lumen of the respiratory tract. In emergency tracheal intubation in a medical institution at the place of residence, the foreign body was moved more distally, which allowed to restore lung ventilation, stabilize the child’s condition and transport her to a specialized medical institution where X-ray and endoscopic examination were performed. It was found that the one-year-old patient had a screw cap tightly wedged into the lumen of the right main bronchus, and the screw’s opposite sharp end punched the left wall of the trachea above its carina. There was a potentially high risk of perforation of the main vessels of the mediastinum with massive bleeding and an unfavorable outcome. Endoscopic removal of a foreign body was technically impossible due to the peculiarity of its transverse arrangement and perforation of the wall, which served as an indication for emergency thoracotomy. A longitudinal sternotomy was performed, providing good access to the distal trachea, the main bronchi and the great vessels. Then we performed transverse bronchotomy in the initial part of the right main bronchus on half of its circumference, removed the foreign body, sutured the wall of the bronchus. The length of the extracted self-drilling screw was 35 millimeters. Postoperative early and late periods went without complications. At follow-up, mucosal surface of the right main bronchus was pink, the vascular pattern was visible, the bronchus was freely passable, not deformed.V. N. StalmahovichE. V. SapukhinA. P. DmitrienkoA. A. DukovScientific Сentre for Family Health and Human Reproduction Problemsarticlechildrenbronchus and trachea foreign bodyScienceQRUActa Biomedica Scientifica, Vol 4, Iss 2, Pp 148-151 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	children bronchus and trachea foreign body Science Q
spellingShingle	children bronchus and trachea foreign body Science Q V. N. Stalmahovich E. V. Sapukhin A. P. Dmitrienko A. A. Dukov Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
description	The article describes a rare case of a foreign body removal from the tracheobronchial tree of a child. In the acute period of aspiration, the girl developed severe hypoxia, a terminal condition caused by the standing of a foreign body in the infraglottic space, a spasm of the vocal cords and obstruction of the lumen of the respiratory tract. In emergency tracheal intubation in a medical institution at the place of residence, the foreign body was moved more distally, which allowed to restore lung ventilation, stabilize the child’s condition and transport her to a specialized medical institution where X-ray and endoscopic examination were performed. It was found that the one-year-old patient had a screw cap tightly wedged into the lumen of the right main bronchus, and the screw’s opposite sharp end punched the left wall of the trachea above its carina. There was a potentially high risk of perforation of the main vessels of the mediastinum with massive bleeding and an unfavorable outcome. Endoscopic removal of a foreign body was technically impossible due to the peculiarity of its transverse arrangement and perforation of the wall, which served as an indication for emergency thoracotomy. A longitudinal sternotomy was performed, providing good access to the distal trachea, the main bronchi and the great vessels. Then we performed transverse bronchotomy in the initial part of the right main bronchus on half of its circumference, removed the foreign body, sutured the wall of the bronchus. The length of the extracted self-drilling screw was 35 millimeters. Postoperative early and late periods went without complications. At follow-up, mucosal surface of the right main bronchus was pink, the vascular pattern was visible, the bronchus was freely passable, not deformed.
format	article
author	V. N. Stalmahovich E. V. Sapukhin A. P. Dmitrienko A. A. Dukov
author_facet	V. N. Stalmahovich E. V. Sapukhin A. P. Dmitrienko A. A. Dukov
author_sort	V. N. Stalmahovich
title	Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
title_short	Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
title_full	Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
title_fullStr	Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
title_full_unstemmed	Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)
title_sort	foreign body of the right main bronchus with tracheal perforation (case report)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/febaf9a71e3e4ce792d081e3f7d1f991
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Foreign Body of the Right Main Bronchus with Tracheal Perforation (Case Report)

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