Skip to main content
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1979 Dec;55(650):886–890. doi: 10.1136/pgmj.55.650.886

Report on a child with stricture following foreign body of long duration in the bronchus. Discussion on the management of bronchial foreign bodies

D T Thompson
PMCID: PMC2425691  PMID: 548952

Abstract

A case report and the management of a 10-year-old girl who had inhaled a foreign body into the right intermediate bronchus at some unknown (but certainly not recent) time previously is given. A stricture at the site of the impaction of the foreign body was found. The excision of the stricture and repair of the bronchus with pericardium is described together with a 3-year follow-up report. The diagnosis and immediate management of foreign bodies in the bronchus are discussed and the importance of differentiating organic and non-organic foreign bodies is stressed. The management of bronchial strictures is discussed as is the result obtained in the above reported case.

Full text

PDF
886

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrews M. J., Pearson F. G. Incidence and pathogenesis of tracheal injury following cuffed tube tracheostomy with assisted ventilation: analysis of a two-year prospective study. Ann Surg. 1971 Feb;173(2):249–263. doi: 10.1097/00000658-197102000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BARCLAY R. S., McSWAN N., WELSH T. M. Tracheal reconstruction without the use of grafts. Thorax. 1957 Sep;12(3):177–180. doi: 10.1136/thx.12.3.177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. BELSEY R. Resection and reconstruction of the intrathoracic trachea. Br J Surg. 1950 Oct;38(150):200–205. doi: 10.1002/bjs.18003815008. [DOI] [PubMed] [Google Scholar]
  4. Banks W., Potsic W. P. Elusive unsuspected foreign bodies in the tracheobronchial tree. A nidus for infections that may be quiet for long periods of time. Clin Pediatr (Phila) 1977 Jan;16(1):31–35. doi: 10.1177/000992287701600105. [DOI] [PubMed] [Google Scholar]
  5. CHURCHILL E. D., SWEET R. H., SOUTTER L., SCANNELL J. G. The surgical management of carcinoma of the lung; a study of the cases treated at the Massachusetts General Hospital from 1930 to 1950. J Thorac Surg. 1950 Sep;20(3):349–365. [PubMed] [Google Scholar]
  6. Gibson P. Aetiology and repair of tracheal stenosis following tracheostomy and intermittent positive pressure respiration. Thorax. 1967 Jan;22(1):1–6. doi: 10.1136/thx.22.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Grillo H. C. Reconstruction of the trachea. Experience in 100 consecutive cases. Thorax. 1973 Nov;28(6):667–679. doi: 10.1136/thx.28.6.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hussain A. Neglected foreign body in the right bronchial tree. Int Surg. 1976 Jun-Jul;61(6-7):366–367. [PubMed] [Google Scholar]
  9. Kim I. G., Brummitt W. M., Humphry A., Siomra S. W., Wallace W. B. Foreign body in the airway: a review of 202 cases. Laryngoscope. 1973 Mar;83(3):347–354. doi: 10.1288/00005537-197303000-00004. [DOI] [PubMed] [Google Scholar]
  10. Kürklü E. U., Williams M. A., Le Roux B. T. Bronchiectasis consequent upon foreign body retention. Thorax. 1973 Sep;28(5):601–602. doi: 10.1136/thx.28.5.601. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Majd N. S., Mofenson H. C., Greensher J. Lower airway foreign body aspiration in children. An analysis of 13 cases. Clin Pediatr (Phila) 1977 Jan;16(1):13–16. doi: 10.1177/000992287701600101. [DOI] [PubMed] [Google Scholar]
  12. Mearns A. J., England R. M., Mearns A. J., England R. M. Dissolving foreign bodies in the trachea and bronchus. Thorax. 1975 Aug;30(4):461–463. doi: 10.1136/thx.30.4.461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Naef A. P. Extensive tracheal resection and tracheobronchial reconstruction. Ann Thorac Surg. 1969 Nov;8(5):391–401. doi: 10.1016/s0003-4975(10)66068-7. [DOI] [PubMed] [Google Scholar]
  14. Pyman C. Inhaled foreign bodies in childhood. A review of 230 cases. Med J Aust. 1971 Jan 9;1(2):62–68. [PubMed] [Google Scholar]
  15. THOMPSON D. A TECHNIQUE FOR BRONCHIAL ANASTOMOSIS AFTER RESECTION OF A PORTION OF BRONCHUS. Thorax. 1964 Jul;19:347–349. doi: 10.1136/thx.19.4.347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Thompson D. T., James M. F. Surgical management of tracheal stricture following positive pressure ventilation. Case report and discussion on tracheal reconstruction. Cent Afr J Med. 1976 Dec;22(12):241–243. [PubMed] [Google Scholar]
  17. Weston J. T. Airway foreign body fatalities in children. Ann Otol Rhinol Laryngol. 1965 Dec;74(4):1144–1148. doi: 10.1177/000348946507400420. [DOI] [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES