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CASE REPORT
Year : 2019  |  Volume : 35  |  Issue : 2  |  Page : 227-229

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


1 Department of Otorhinolaryngology, Sarawak General Hospital, Sarawak, Malaysia
2 Department of Paediatric, Sarawak General Hospital, Jalan Hospital, 93586 Kuching, Sarawak, Malaysia
3 Department of Anaesthesiology and Intensive Care, Sarawak General Hospital, Sarawak, Malaysia
4 ORL-HNS Department, Faculty of Medicine and Health Sciences, University Sarawak, Sarawak, Malaysia

Correspondence Address:
Jasmine P.Y Kho
Department of Otorhinolaryngology, Sarawak General Hospital, Jalan Hospital, 93586 Kuching, Sarawak
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejo.ejo_71_17

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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.


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