PT  - JOURNAL ARTICLE
AU  - El-Khushman, Haytham M.
AU  - Sharara, Abdelmonem M.
AU  - Sa Ada, Mohamed A.
AU  - Hijazi, Manaf A.
TI  - Tracheobronchial straight metallic pin aspiration in young Jordanian females
DP  - 2007 Jun 01
TA  - Saudi Medical Journal
PG  - 913--916
VI  - 28
IP  - 6
4099  - http://smj.org.sa/content/28/6/913.short
4100  - http://smj.org.sa/content/28/6/913.full
SO  - Saudi Med J2007 Jun 01; 28
AB  - OBJECTIVE: To define the clinical spectrum of tracheobronchial straight metallic pin aspiration in adults, assess predisposing conditions, evaluate the efficacy of bronchoscopy, and determine the outcome and complications at the largest 2 hospitals in Jordan.METHODS: Retrospective analysis of 60 consecutive clinical cases from 2 referral-based medical centers (32 patients at King Hussein Medical Center [KHMC] and 28 patients at Al-Basheer Hospital). Medical records of adult patients (>13 years of age) who presented with history of straight metallic pin aspiration over 6-year period (July 2000 and July 2006) were analyzed. Clinico-radiological features and location of the pins were studied. The flexible fiberoptic bronchoscopy (FFB) was used for foreign body (FB) identification and removal in all KHMC patients; video assisted rigid bronchoscope under general anesthesia was used at Al-Basheer Hospital.RESULTS: All patients were females <28 years of age. Fifty-six patients (93%) presented within the first 24 hours after aspiration. Medical history was suggestive of FB aspiration in all patients. Chest x-rays demonstrated the radio opaque pins in all patients. At bronchoscopy, the intermediate bronchus was the most common site of FB lodgment (62%). Ninety-two percent of patients were discharged on the same day of the procedure.CONCLUSION: Tracheobronchial straight metallic pins are relatively frequent FB in Jordanian young females and can occur in a very specific clinical setting. Removal of these FBs can usually be accomplished successfully by FFB.