Fleksibl Fiberoptik Bronkoskopla Bilateral ve Periferik Yerleşimli Metalik Yabancı Cisim Çıkarılması

Abstract

Nowadays and especially in our country, it is stili thought that rigid bronchoscope must be used for the removal of all kinds of aspirated foreign bodies in adults or children even if this process has a high risk of complications and it usually needs to be done under general anesthesia. Islamic faith requires women to cover their hair with a head scarf. This practice is more popular especially among young women. They use some kind of pins to attach this scarf. This pin has a coloured plastic little ball on the top and it is longer than the normal pins. in recent years, aspiration of this pin has been very frequent causing severe medical problems. A young wornen applied to our clinic with the same problem. On the postero-anterior chest roentgenogram of this patient, bilaterally placed two metallic foreign bodies were seen in the traceobronchial tree. Contrary to the comrnon beliPf, flexible fiberoptic bronchoscope was used for the removal of these foreign bodies. On the bronchoschopic examination revealed the head scarf pins in the medial segment of the right middle lobe and in the inferior lingula segment of left lung. Tips of the pins were located on the proximale and stuck to the bronchial wall. At first, the stuck tips of the pins were released from the wall of the bronchia with the help of dassic biopsy forceps. Then they were held diagonally by their tips using the forceps which pulled the pin up to the internal channel of bronchoscope. Then the bronchoscope was taken out gradually along with the forceps and the pin. This case report shows that bilateral and peripheric foreign bodies in the tracheabronchial tree can be removed by using flexible fiberoptic bronchoscope under the local anesthesia without any complications.