Skip to main content

Tracheobronchial foreign body in an extremely preterm infant complicated with pulmonary hemorrhage

Abstract

Tracheobronchial foreign bodies in preterm neonates are extremely rare. They are usually iatrogenic and associated with dislodgement of medical devices. The narrow airways of neonates pose a challenge in removal of foreign bodies. The obstructing object or attempt of removal in itself may cause significant morbidity or mortality. We report a rare case of pulmonary hemorrhage secondary to a tracheobronchial foreign body in an extremely preterm infant and its successful removal. Literature reviews show atelectasis, pneumonia, and respiratory distress being the most common complications from a tracheobronchial foreign body. Removal of tracheobronchial foreign bodies in the narrow airways of neonates can be a grueling task with multiple risks. A high index of suspicion is needed for early detection of foreign body in the airways to avoid morbid complications.

References

  1. 1

    Shapiro NL, Kaselonis GL. Tracheobronchial foreign body management in an acutely ill neonate. Int J Pediatr Otorhinolaryngol 2000; 52:75–77.

    CAS  Article  Google Scholar 

  2. 2

    Garcia-Aparicio L, Castanon M, Tarrado X, Rodriguez L, Iriondo M, Morales L. Bronchial complication of a closed-tube endotracheal suction catheter. J Pediatr Surg 2002; 37:1483–1484.

    Article  Google Scholar 

  3. 3

    Ritz R, Scott LR, Coyle MB, Pierson DJ. Contamination of a multiuse suction catheter in closed-circuit system compared to contamination of a disposible, single-use suction catheter. Resp Care 1986; 31:1086–1091.

    CAS  Google Scholar 

  4. 4

    Nurkin S, et al. A rare complication of the closed tracheal suction system. J Pediatr 2004; 145:858.

    Article  Google Scholar 

  5. 5

    Leung L, et al. An unexpected journey of a suction catheter in a preterm neonate. J Ped Surg Case Reports 2015; 3:364–366.

    Article  Google Scholar 

  6. 6

    Australian Resuscitation Council, Section 13–Neonatal Guidelines, 2010. Available at: http://www.resus.org.au/ [Accessed 15 March 2011].

  7. 7

    Altuntas B, Aydin Y, Eroglu A. Complications of tracheobronchial foreign bodies. Turk J Med Sci 2016; 46:795–800.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Jasmine P. Y. Kho MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kho, J.P.Y., Wong, A.C., Teo, S.C. et al. Tracheobronchial foreign body in an extremely preterm infant complicated with pulmonary hemorrhage. Egypt J Otolaryngol 35, 227–229 (2019). https://doi.org/10.4103/ejo.ejo_71_17

Download citation

Keywords

  • closed suction catheter
  • foreign body
  • neonate
  • premature infant
  • pulmonary hemorrhage