Foreign body aspirations in children and adults

Ulaş, Ali Bilal; Aydın, Yener; Eroğlu, Atilla

doi:10.1016/j.amjsurg.2022.05.032

Cited by 11 publications

(14 citation statements)

References 17 publications

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“…Foreign body aspiration (FBA) is a relatively uncommon phenomenon in the adult population. Indeed, a large recent retrospective study by Ulas et al determined that only 11.7% of FBA cases were seen in adult patients (>18 years old) [ 1 ]. Aspiration in the pediatric population, however, is the fourth leading cause of accidental mortality in patients under the age of three years [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Foreign Body Aspiration Mimicking an Endobronchial Neoplasm: A Case Report and Review of the Literature

Purohit¹,

Grandfield²,

Dhamija³

et al. 2023

Cureus

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Foreign body aspiration (FBA) is infrequently encountered in the adult population, with major risk factors including advancing age, intoxication, and disorders of the central nervous system. Here, we present a case of FBA in an adult undergoing routine lung cancer screening to review imaging findings and highlight potential pitfalls for the practicing radiologist. A low-dose chest computed tomography (CT) scan was performed for lung cancer screening in a 57-year-old male with a one-month history of worsening dyspnea and cough. An endobronchial lesion was identified in the right bronchus intermedius. A follow-up 18Ffluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT) revealed hypermetabolic activity in the region of interest, raising concern for malignancy. Bronchoscopy was performed, revealing a nodular mass adjacent to a foreign body in the bronchus intermedius. Histopathologic analysis of the tissue sample revealed the presence of an aspirated foreign body with squamous metaplasia of the respiratory epithelium. Adult FBA is an uncommon clinical entity that may be incidentally observed on a screening chest CT. Relevant multimodality imaging findings are discussed here, along with a review of the accompanying pathologic changes seen with chronic airway impaction.

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Section: Discussionmentioning

confidence: 99%

“…Foreign body aspiration (FBA) is typically encountered in the pediatric population [ 1 ]. Given its relative infrequency and varied clinical presentation in adults, radiologic imaging is of critical importance in confirming suspected FBA in older populations.…”

Section: Introductionmentioning

confidence: 99%

Foreign Body Aspiration Mimicking an Endobronchial Neoplasm: A Case Report and Review of the Literature

Purohit¹,

Grandfield²,

Dhamija³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Foreign body aspiration (FBA) is an uncommon but potentially life-threatening event [ 1 , 2 ]. Symptoms typically consist of a choking event followed by cough and dyspnea [ 3 , 4 ]. Although both adults and children tend to inhale foreign bodies, it is more common in children than in adults [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms typically consist of a choking event followed by cough and dyspnea [ 3 , 4 ]. Although both adults and children tend to inhale foreign bodies, it is more common in children than in adults [ 4 ]. Several observational studies report a low rate of FBA in adults (0.66 per 100,000) [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors associated with radiolucent foreign body inhalation in adults: a 10-year retrospective cohort study

Liu

Guo

et al. 2022

Respir Res

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Background Foreign body aspiration (FBA) is a serious condition with high morbidity and mortality rates. Although chest radiography is generally the first radiologic modality used in diagnosis, a substantial percentage of foreign bodies are radiolucent in adults with diagnosis challenging. Methods Retrospective review of adult patients with FBA diagnosed by flexible electronic bronchoscopy from 2012 to 2022 collecting demographics, history, hospital presentation, radiographic, and operative details. Risk factors associated with radiolucent foreign body inhalation in adults were explored using appropriate statistical methods. Results Between 1 January 2012 and 1 January 2022, 114 adult patients diagnosed with FBA were enrolled. The median age of participants was 65 years (IQR 52–74). Multidetector computed tomography (MDCT) examinations identified 28 cases (25%) showing direct visualization of the foreign body (defined as the radiopaque group) and 86 cases (75%) in the radiolucent group. Multivariable stepwise linear regression analysis showed increased odds of radiolucent foreign body inhalation in adults associated with pneumonic patches in MDCT (OR 6.99; 95% CI 1.80–27.22; P = 0.005) and plants/meat foreign bodies (OR 6.17; 95% CI 1.12–33.96; P = 0.04). A witnessed choking history (OR 0.02; 95% CI 0–0.14; P < 0.001) was a protective factor of radiolucent foreign body inhalation in adults. Conclusions Unlike radiopaque FBA, in those presenting with a suspected radiolucent foreign body aspiration, the diagnosis is far more challenging. Risk factors such as lacking a choking history, non-resolving pneumonia (pneumonic patches) in MDCT findings, and plants/meat foreign bodies may help in the early diagnosis of radiolucent foreign body inhalation in adults. Further prospective multicenter studies should be conducted to validate the findings.

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Comparison of chest X-ray interpretation by pediatric pulmonologists, pediatric radiologists, and pediatric residents in children with suspected foreign body aspiration—a retrospective cohort study

et al. 2023

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Foreign body aspirations in children and adults

Cited by 11 publications

References 17 publications

Foreign Body Aspiration Mimicking an Endobronchial Neoplasm: A Case Report and Review of the Literature

Foreign Body Aspiration Mimicking an Endobronchial Neoplasm: A Case Report and Review of the Literature

Risk factors associated with radiolucent foreign body inhalation in adults: a 10-year retrospective cohort study

Comparison of chest X-ray interpretation by pediatric pulmonologists, pediatric radiologists, and pediatric residents in children with suspected foreign body aspiration—a retrospective cohort study

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