Deux cas d’extraction chirurgicale de corps étrangers après inhalation d’épingle de foulard

Scarf pin inhalation: clinical characteristics and surgical treatment

“…Foreign body (FB) inhalation is a serious accident that happens most commonly to children 3–4 years old and to adults above 50 years old, as they have tendency to swallowing disorders [ 1 , 5 ]. The nature of foreign body varies according to age, regions, eating habits and even clothing habits [ 1 , 2 , 4 ]. In our series all patients were young, 20 years old on average, which reflects data found in literature [ 1 , 2 , 4 , 5 ].…”

“…The type of FB depends on regions, eating habits and even clothing habits. Scarf pin is a particularly common FB in Islamic countries where women wear veil [ 3 , 4 ].…”

Inhalation of foreign body: "Avoidable lobectomy. A case report''

“…A bronchial endoscopy can be used for diagnostic and / or therapeutic purposes. It confirms the presence of a foreign body in the bronchus and specifies the evolutionary stage [10] .Any foreign body having penetrated by the natural ways can be extracted by the same ways provided that it has not migrated through the perforated wall of these ways [5,6,13] . There should be no delay in endoscopic extraction [7][8][9][10][11][12][13][14][15] .…”

“…However, left side or bilateral localization is possible [11,12] .In the event of acute respiratory distress in children, it is necessary to systematically think of a bronchopulmonary foreign body. However, inhalation may go unnoticed or the signs may be atypical and thus discover the foreign body at the stage of bronchopulmonary complications [10,12,13] .The radiological assessment (standard radiography and chest scanner) is sufficient for the positive diagnosis, localization and extent of destructive parenchymal lesions if the body is radiopaque. If the foreign body is not radiopaque, some indirect signs such as atelectasis or obstructive emphysema should alert the clinician [7,14].…”

“…Irreversible parenchymal damage requires sometimes extensive excision [15] . An early extraction period limited to the first 72 hours after inhalation of foreign bodies is an important condition for an uncomplicated course [11,13] . Since bronchopulmonary foreign body surgery must be conservative, it is limited as much as possible to bronchotomy or extraction pneumotomy after detection and manual blocking of the foreign body in order to avoid its migration [9,10] .…”