Severe bronchial synechia after removal of a long-standing bronchial foreign body: a case report to support control bronchoscopy

Article Article scientifique Rapport de cas Severe bronchial synechia after removal of a long-standing bronchial foreign body: a case report to support control bronchoscopy eng 2003 author Bugmann Philippe 61705 author Birraux Jacques Maurice 36101 author Barazzone Constance 29124 author Fior Angela Francesca 549977 author Le Coultre Claude Pierrette 24018 E14-E16 10.1053/jpsu.2003.50152 12677601 0022-3468 The authors report the case of a child who had severe bronchial synechia of the left main bronchus after removal of a pistachio shell embedded in granulation tissue. Histology finding of the removed granulation tissue at initial bronchoscopy showed an Actinomyces bacterial invasion. It was decided not to treat this local contamination and to perform a control bronchoscopy to verify the disappearance of local bacterial invasion. The control bonchoscopy performed 4 weeks after the foreign body (FB) removal disclosed a large central left main bronchus synechia producing a 70% reduction of the lumen, although the child had become asymptomatic except for a slight residual cough. The resection of the synechia restored a normal bronchial lumen. The performance of a systematic control bronchoscopy after removal of long standing FB is discussed and recommended. Actinomycosis/etiology Airway Obstruction/etiology Anti-Asthmatic Agents/therapeutic use Bronchi/pathology Bronchial Diseases/etiology/pathology/surgery Bronchopneumonia/etiology Bronchoscopy Child, Preschool Constriction, Pathologic/etiology/pathology/surgery Cough/etiology Foreign-Body Reaction/complications/surgery Humans Male Pistacia Postoperative Complications/etiology/pathology/surgery Recurrence Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 148 Facteurs influençants le développement pulmonaire: étude translationnelle chez l'animal et l'homme 182 Journal of pediatric surgery 38 4 3dfba379-e6ed-4881-864e-dcce8dc0f3f6 Article (Published version) Restricted 14-16.pdf 115091 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Severe bronchial synechia after removal of a long-standing bronchial foreign body: a case report to support control bronchoscopy	Journal of pediatric surgery			2003	596	0

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Fior, Angela Francesca