Mahmood Umar, Talat Nabila, Ur Rehman Wajeeh, Khalid Rija
Department of Pediatric Surgery, The University of Child Health Sciences and The Children's Hospital, Lahore, Lahore - Kasur Rd, Nishtar Town, Lahore, Punjab, Pakistan 54000.
Department of Pediatric Surgery, The University of Child Health Sciences and The Children's Hospital, Lahore, Lahore - Kasur Rd, Nishtar Town, Lahore, Punjab, Pakistan 54000.
Int J Surg Case Rep. 2025 Jan;126:110814. doi: 10.1016/j.ijscr.2024.110814. Epub 2025 Jan 2.
Foreign body (FB) inhalation is a potentially life-threatening condition in children. Magnets, being rare, aspirated objects, pose significant threat due to their physical and magnetic properties.
A 10-year-old girl with a history of magnet aspiration went into respiratory distress due to dislodgement of magnet to opposite main bronchus following failed attempt of removal via Rigid Bronchoscopy. Despite reattempts with advance techniques of removal, the foreign body removed via right sided thoracotomy. Post operatively, patient remained on mechanical ventilator, ultimately, discharging in stable condition with mild residual cough on follow-up.
Magnets as airway foreign bodies are rare and challenging to manage. Their magnetic properties increase the risk of migration, airway obstruction, and tissue damage. Early diagnosis and intervention, primarily via rigid bronchoscopy, are critical. In cases where bronchoscopy fails, thoracotomy remains a viable option. Multidisciplinary care is essential to address complications and ensure successful outcomes.
This case highlights the importance of prompt diagnosis, timely surgical intervention, and meticulous postoperative care in managing complex airway foreign bodies. In challenging cases of magnet inhalation, rigid bronchoscopy is key, with thoracotomy needed in refractory situations.
异物吸入是儿童潜在的危及生命的病症。磁铁作为罕见的误吸物体，因其物理和磁性特性构成重大威胁。
一名有磁铁误吸史的10岁女孩，在通过硬质支气管镜取出失败后，磁铁移位至对侧主支气管，从而陷入呼吸窘迫。尽管采用先进的取出技术再次尝试，但异物最终通过右侧开胸手术取出。术后，患者继续使用机械通气，最终在随访时病情稳定出院，仍有轻度残留咳嗽。
磁铁作为气道异物较为罕见且处理具有挑战性。其磁性特性增加了移位、气道阻塞和组织损伤的风险。早期诊断和干预，主要通过硬质支气管镜检查，至关重要。在支气管镜检查失败的情况下，开胸手术仍是可行的选择。多学科护理对于处理并发症和确保成功结果至关重要。
本病例突出了在处理复杂气道异物时及时诊断、适时手术干预和精心术后护理的重要性。在具有挑战性的磁铁吸入病例中，硬质支气管镜检查是关键，难治情况下则需要开胸手术。
