RT Journal Article
SR Electronic
T1 Tracheobronchial straight metallic pin aspiration in young Jordanian females
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 913
OP 916
VO 28
IS 6
A1 El-Khushman, Haytham M.
A1 Sharara, Abdelmonem M.
A1 Sa Ada, Mohamed A.
A1 Hijazi, Manaf A.
YR 2007
UL http://smj.org.sa/content/28/6/913.abstract
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.