Aspirative foreign body converted in ingested foreign body (página 2)

Enviado por Dr. Armando M. Lesmo Iglesias

Partes: 1, 2

Discusion

The physical actions of the epiglottis and arytenoid
cartilages is to block the airways.the laryngeal intensive spasm
provocated by objets getting near the glottis exhacerbate a
highly sensitive reflex cough with afferent impulses at the level
of the tracheobronchial tree.

However,none of these mechanisms is perfect and foreign
bodies are frequently lodged in the child’s
airways.

This is an uncommon case in which a heavy foreign body
lodged in to the lower bronchus.different medical options were
considered,first there was the possibility to perform a
toracotomy.secondly if the child would continue asymptomatic,it
was advisable to leave the foreign body in the bronchus due to
the fact that the toracotomy is a quite aggressive and dangerrous
procedure and might be fatal.the treatment set with steroids and
bronchodilators together with the reflex cough , provoked that
the foreign body move up to the laryngeal vestivule and
afterwards it was swallowed,for the luck of the child getting the
normal digestive way to be expelled out in the stools.

The action of steroids and bronchodilator combined with
the reflex cough facilitated the conversion from aspirated
foreign body to ingested foreign body.

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Anexo – Imágenes