‘PulmoNAILy’ injury: surgical management of rare tracheobronchial foreign body aspiration in an adult

Abstract

Fig 3. Computed tomography of the chest revealed an area of cavitation adjacent to inhaled foreign object which likely represented traumatic pneumatocele, with surrounding ground-glass opacity, demonstrating haemorrhage.

Aspiration of a Blister Pack Tablet with Tracheal Obstruction and Perforation: Emergency Tracheal Repair with Extracorporeal Membrane Oxygenation Support

“… 2 Clinical presentation of foreign body aspiration among adults ranges from chronic aspiration to life-threatening acute airway obstruction. 1 2 3 Sharp-edged blister tablet packs are a particular case where size and configuration of the blister not only cause local injury but also considerably hamper endoscopic retrieval. 4 There are case reports describing the difficulty involved in retrieving blister packs from the esophagus as well as from the airways.…”

Re: ‘PulmoNAILy’ injury: surgical management of rare tracheobronchial foreign body aspiration in an adult

“…We read with great interest the article by Hon et al in this esteemed journal. 1 The authors described an accidental inhalation of a nail that ended up with a thoracotomy after several failed bronchoscopy attempts. We believe the authors have provided valuable insight into the case.…”

“…The use of a magnetic probe to extract ferromagnetic objects in the airway had been demonstrated by Elsayed et al (1), who performed a novel method using homemade magnets built on the tip of the rigid bronchoscopic suction to extract 20 tracheobronchial headscarf pins. Although magnetic probes do not offer a solid grasp on objects and loss of the foreign bodies in the upper airway on attempted retrieval is common, they can be utilised to mobilise more distal foreign bodies into the mainstem airways where forceps or baskets can then be used (2).…”