Burhan APİLİOGULLARİ, Nuri DUZGUN, Hidir ESME, Mehmet YAVSAN

Headscarf Pin Localized in the Right Main Bronchus and Two Pins in the Abdomen

Trakeobronşiyal yabancı cisim aspirasyonu mortaliteye neden olabilen ve acil müdahale gerektiren ciddi bir durumdur. Literatürlerde Müslüman ülkelerde başörtüsü kullanımı ile ilgili iğne aspirasyon vakaları raporlanmıştır. Yabancı cisim aspirasyonunun en sık belirtisi öksürüktür. Radyo-opak ise yabancı cisim akciğer radyolojisi ile tespit edilebilir. Tanı konar konmaz, yabancı cisimin kısa sürede çıkarılması gerekir. Çıkarma işlemi fleksibl fiberoptik bronkoskop veya rijit bronkoskop tarafından yapılmaktadır. Burada, başörtüsü iğnesi aspirasyonu neticesinde acil servise başvuran ve radyografi sonuçlarında karında 2 ve sağ ana bronşta 1 adet tespit edilen bir olgu sunuyoruz

Anahtar Kelimeler:

Başörtüsü iğnesi, trakeobronşial yabancı cisim, bronkoskopi

Headscarf Pin Localized in the Right Main Bronchus and Two Pins in the Abdomen

Tracheobronchial foreign body aspiration is a serious condition that might result in mortality and it necessitates emergency intervention. Studies in literature report cases of pin aspiration related to headscarf use in Muslim countries. The most frequent symptom in foreign body aspirations is coughing. Radio-opaque foreign bodies can be detected through lung radiology. Following diagnosis, the foreign body needs to be removed as soon as possible. The removal procedure is carried out by flexible fiberoptic bronchoscopy or rigid bronchoscope. We hereby present the case of a patient who presented to the emergency department with headscarf pin aspiration and whose radiography results revealed 2 pins in the abdomen and one pin in the right main bronchus.

Keywords:

Headscarf Pin, tracheobronchial foreign body, bronchoscopy,

PDF

___

Beşerli K, Demirkaya A. Tracheobronchial foreign body as- piration. (Turkish) Respiratory 2003; 5; 316-9.
Yuncu G, Alıcı H, Sevinç S, Ünsal Ş. Tracheobronchial for- eign body aspiration. Izmir Chest Hosp J 2002;16(1):1-10 http://igh.dergisi.org/pdf/pdf_IGH_19.pdf
Kaptanoğlu M, Nadir A, Doğan K, Şahin E. The het- erodox nature of turban pins in foreign body aspira- tion; the Central Anatolian experience. Int J Pediatr Otorhinolaryngol 2007; 71; 553-8.
Hasdiraz L, Biçer C, Bilgin M, Oğuzkaya F. Turban pin as- piration: nonasphyxiating tracheobronchial foreign body in young Islamic women. Thorac Cardiovasc Surg 2006; 54; 273-5.
Arsalane A, Zidane A, Atoini F, Traibi A, Kabiri EH. The surgical extraction of foreign bodies after the inhalation of a scarf pin: two cases. [Article in French] Rev Pneumol Clin 2009;65:293-7. [Abstract]
Ragab A, Ebied OM, Zalat S. Scarf pins sharp metallic tra- cheobronchial foreign bodies: presentation and manage- ment. Int J Pediatr Otorhinolaryngol 2007;71:769-73.
Dayıoğlu E, Rahimi M, Toker A, et al. Intrabronchial for- eign body. (Turkish) TCS Surg J 1995;3:82-5.
Al-Ali MA, Khassawneh B, Alzoubi F. Utility of fiberoptic bronchoscopy for retrieval of aspirated headscarf pins. Respiration 2007;74:309-13.
Türüt H, Gulhan E, Tastepe I. Unforeseen scenario in removal of a tracheobronchial foreign body. Asian Cardiovasc Thorac Ann 2008;16:e10-1. 85
Pasaoglu I, Dogan R, Demircin M, Hatipoglu A, Bozer AY. Bronchoscopic removal of foreign bodies in children: ret- rospective analysis of 822 cases. Thorac Cardioıvasc Surg 1991;39(2):95-8.