Bashir A, Ahmad SQ, Silverman J, Concepcion E, Lee H. Post-obstructive pulmonary edema from aspirated nuts.
SAGE Open Med Case Rep 2017;
5:2050313X17717391. [PMID:
28717510 PMCID:
PMC5502936 DOI:
10.1177/2050313x17717391]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Accepted: 05/10/2017] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES
Post-obstructive pulmonary edema is thought to occur from hemodynamic changes secondary to forced inspiration against the closed airway due to acute or chronic airway obstruction. We report a case of a 13 month-old boy who developed pulmonary edema from aspirated foreign body, nuts.
METHODS
He underwent emergency bronchoscopy to confirm the clinical diagnosis of aspirated nuts in the trachea and nuts were removed endoscopically. His trachea was then intubated and he was mechanically ventilated with oxygen.
RESULTS
He developed florid pulmonary edema early in the course with tracheal obstruction and during endoscopic removal of nuts. After removal of obstruction he was ventilated mechanically and pulmonary edema cleared rapidly.
CONCLUSIONS
Aspirated nuts obstructing trachea can induce obstructive pulmonary edema. Early recognition of foreign body obstruction based on clinical history and its removal resolved pulmonary edema.
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