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Sunflower Seed Inhalation of 45 Days-Duration.pdf
A 9-year-old boy was referred to an ENT specialist due to a non-resolving cough and wheeze that had lasted 45 days. A physical exam found wheezy chest bilaterally. A chest X-ray was normal. During rigid bronchoscopy under general anesthesia, a sunflower seed shell was found lodged in the middle lobe bronchus, causing severe mucosal congestion. The foreign body was removed using forceps and the bronchus was irrigated with saline. The boy's condition improved after the procedure and he was discharged the next day in good health. Despite a negative history and normal X-ray, unresolved cough in children should raise suspicion of a foreign body aspiration,
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Sunflower Seed Inhalation of 45 Days-Duration.pdf
- 1. الرحيم الرحمن هللابسم Sunflower Seed Inhalation of 45 Days- Duration Prof. Abdulsalam Y Taha College of Medicine University of Sulaimani 2022 1
- 2. The Case A9-years old boy referred from an ENTist because of a non -resolved cough and wheeze of 45-days duration. There was no definite history of foreign body (FB) inhalation. Physical examination revealed bilateral wheezy chest. CXR was normal. Rigid bronchoscopy under general anesthesia (GA) revealed a severe mucosal congestion of the middle lobe bronchus with a shell of sunflower seed. 2
- 3. The Case… TheFB was removed by forceps and the bronchus was irrigated by normal saline. The child did well after bronchoscopy and was discharged home the next day in a good health. 3
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- 7. Comment Despite a negativehistory of FB inhalation and a normal CXR, unresolved cough in a child should raise the suspicion of aspiration of a FB and thus bronchoscopy should be performed for diagnostic and therapeutic purpose. 7