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KMID : 1037020200090010065
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Medical Lasers; Engineering, Basic Research, and Clinical Application
2020 Volume.9 No. 1 p.65 ~ p.70
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A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child
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Mun In-Kwon
Ju Yeo-Rim
Lee Sang-Joon
Woo Seung-Hoon
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Abstract
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Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unexpected complication. We also review the appropriate literature.
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KEYWORD
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Foreign body, Tension pneumothorax, Chest tubes, CO2 laser
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