A Rare Case of a Child with Bended Scarf-Pin in Left Bronchus: Case Report with Systematic Review And Meta-Analysis
A Case of a Child with Bended Scarf-Pin in Left Bronchus
DOI:
https://doi.org/10.31661/gmj.v13i.3597Keywords:
Hijab Pin; Foreign Body Aspiration; Pin Aspiration; Children; InfantAbstract
Background: In this report, we present the case of a 19-month-old female diagnosed with hijab pin aspiration after a week of persistent coughing, along with a meta analysis and systematic review of the relevant literature. Materials and Methods: A comprehensive search was conducted across multiple databases, including Ovid Medline, Cochrane, PubMed, Web of Science, and SCOPUS, yielding 182 records until August 2024. A total of 7 published study and our case included to final analysis. The complication, morbidity, and mortality analysis has been performed using Jamovi software v2.4 MAJOR proportion analysis section. Case Description: A 19-month-old female was admitted to another hospital with a persistent cough complaint. In X-ray left hijab pin has been detected. The patient underwent a succesfull removal with rigid broncoscopy (RB). A total of 71 patients included this meta analysis. The thoracotomy rate was 8%. The bleeding rate was reported as 1.4%. The reoperation rate was reported as 9.8%. The postoperative intubation rate was reported as 1.4%. The calculated complication rate was found to be 5.6% based on the existing literature. The postoperative hemoptysis incidence was calculated as 0%. Mortality was not reported across any included studies. However, the mortality incidence was calculated as 0% based on included studies. Conclusion: Effective and timely intervention is crucial for managing pediatric hijab pin aspiration. Multidisciplinary approaches ensure successful outcomes and prevent serious complications.
References
El Khoury P, Makhoul M, El Hadi C, Haber C, Rassi S. CT Scan in Children Suspected of Foreign Body Aspiration: A Systematic Review and Meta-analysis. Otolaryngol Head Neck Surg. 2024 Jan;170(1):1-12.
https://doi.org/10.1002/ohn.433
Azizoğlu M, Bayram S, Aydoğdu B, Okur MH. Una causa rara de obstrucción intestinal: ingestión de calcetines [A rare cause of intestinal obstruction: sock ingestion]. Cir Cir. 2023 Sep 28.
https://doi.org/10.24875/CIRU.22000216
Lee JJW, Philteos J, Levin M, Namavarian A, Propst EJ, Wolter NE. Clinical Prediction Models for Suspected Pediatric Foreign Body Aspiration: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2021 Sep 1;147(9):787-796
https://doi.org/10.1001/jamaoto.2021.1548
Castellón-Pavón CJ, Lévano-Linares C, Torres-Alemán A, Durán-Poveda M. Sigmoid colon perforation by migration of a biliary prosthesis. Cir Cir. 2022;90(4):573-574. English.
https://doi.org/10.24875/CIRU.20001000
Osman Hakan Kocaman, Mehmet Çakmak, Tansel Günendi, Saime Shermatova, Mustafa Erman Dörterler, Mehmet Emin Boleken. Esophageal Foreign Bodies in Children. Coc Cer Derg /Turkish J Ped Surg 2022;36(2): 44-49.
https://doi.org/10.29228/JTAPS.62807
Dongol K, Neupane Y, Das Dutta H, Raj Gyawali B, Kharel B. Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital. JNMA J Nepal Med Assoc. 2021 Feb 28;59(234):111-115.
https://doi.org/10.31729/jnma.5393
Foltran F, Ballali S, Rodriguez H, Sebastian van As AB, Passali D, Gulati A, Gregori D. Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects. Pediatr Pulmonol. 2013 Apr;48(4):344-51.
https://doi.org/10.1002/ppul.22701
Heras SE, Fernandez B. Hijab syndrome: pin inhalation is on the rise. Minerva Anestesiol. 2024 Jun;90(6):587-588.
https://doi.org/10.23736/S0375-9393.24.18042-X
Abduljabbar MA, Jabir SN, Ahmed OF, Kakamad FH, Salih AM, Mikael TM, Mohammed SH, Hassan HA, Hussein DA, Mustafa MQ, Salih RQ, Omar DA. Scarf pin inhalation; presentation and management; a case series. Ann Med Surg (Lond). 2020 Dec 29;62:73-75.
https://doi.org/10.1016/j.amsu.2020.12.044
Kakunje A, Pookoth R, Ahmed AN, Puthran S, Nambiar A. Aspiration of hijab pin is sharply rising among young women---A preventable health problem. J Family Med Prim Care. 2019 Aug 28;8(8):2681-2684.
https://doi.org/10.4103/jfmpc.jfmpc_458_19
Sheikh S, Grosel J. Hijab pin inhalation. JAAPA. 2020 Jul;33(7):27-29.
https://doi.org/10.1097/01.JAA.0000668800.18287.6f
Parvez Y, Kandath MA. Accidental aspiration of head scarf pin in left bronchus piercing the lung parenchyma: A rare case in a child. Lung India. 2016 Jul-Aug;33(4):424-6.
https://doi.org/10.4103/0970-2113.184914
Sarmah U, Kurup BG, Prabhat D, Pereira C, Karkera P, Tiwari Y. Head Scarf Pin in the Airway and Challenges in Rigid Bronchoscopy: A Case Series. Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1214-1219.
https://doi.org/10.1007/s12070-023-04223-0
Murthy PS, Ingle VS, George E, Ramakrishna S, Shah FA. Sharp foreign bodies in the tracheobronchial tree. Am J Otolaryngol. 2001 Mar-Apr;22(2):154-6.
https://doi.org/10.1053/ajot.2001.22585
Harischandra DV, Swanevelder J, Firmin RK. The inhaled pin inaccessible to the bronchoscope: a management conundrum. J Laryngol Otol. 2009 Dec;123(12):1399-401.
https://doi.org/10.1017/S0022215109005490
Maddali MM, Badur RS, Fernando MS, Alsajwani MJ. Total contralateral atelectasis following rigid bronchoscopy in a child with scarf pin aspiration. Paediatr Anaesth. 2006 Oct;16(10):1095-7.
https://doi.org/10.1111/j.1460-9592.2006.01942.x
Hamouri S, Swesi F, Novotny NM. Unique Challenges to the Approach and Management of Pediatric Headscarf Pin Aspiration. J Laparoendosc Adv Surg Tech A. 2018 Oct;28(10):1243-1247.
Published
Issue
Section
License
Copyright (c) 2024 Galen Medical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.