• Marlene Rodrigues Pediatric Department of Hospital de Braga
  • Joana Teixeira Pediatric Department of Hospital de Braga
  • Patrícia Nascimento Pediatric Department of Hospital de Braga
  • Susana Carvalho Pediatric Department of Hospital de Braga
  • Augusta Gonçalves Pediatric Department of Hospital de Braga
  • José Almeida Pneumology Department of Centro Hospitalar de Vila Nova de Nova de Gaia/Espinho
  • Cristiana Ribeiro Pediatric Department of Hospital de Braga



foreign-body, dysphagia, dysphonia, airway obstruction


Introduction: Foreign body aspiration (FBA) is a common pediatric emergency and an important cause of accidental death in children. The majority of cases occur with small organic or inorganic objects in preschool age. FBA may be associated with a broad spectrum manifestations and its diagnosis represents a challenge.

Case report: We report a case of a two-year-old child admitted in the emergency department with cough, dysphonia and dysphagia. On physical examination she had persistent cough, mild respiratory distress and inspiratory / expiratory wheezing and bilaterally dispersed snoring in auscultation. The chest radiograph showed bilateral hilar reinforcement, most notably on the right side. Otolaryngology evaluation, including nasolaringofibroscopy, had no alterations. Bronchoscopy revealed a vegetable foreign body causing obstruction greater than 50% of right main bronchus lumen.

Conclusion: The aim of this report is to emphasize the need to maintain a high index of suspicion concerning the possibility of FBA, because the late recognition can lead to irreversible consequences.


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A Saúde dos Portugueses. Perspectiva 2015. Direção Geral de Saúde 2015.

Programa Nacional de Prevenção de acidentes 2010-2016. Direção Geral de Saúde 2010.

Acidentes domésticos e de lazer: Informação adequada. Relatório 2006-2008. Instituto Nacional de Saúde Doutor Ricardo Jorge 2010.

Passali D, Lauriello M, Belussi L, Passali GS, Passali FM, Gregori D. Foreign body inhalation in children: an update. Acta Otorhinolaryngologica Italica 2010; 30: 27-32.

Sehgal A, Singh V, Chandra J, et al. Foreign body aspiration. Indian Pediatrics 2002; 39:1006-10.

Panda SS, Bajpai M, Singh A, Baidya DK, Jana M. Foreign body in the bronchus in children: 22 years experience in a tertiary care paediatric centre. African Journal of Paediatric Surgery 2014; 11 (3): 252-5.

Fraga A, Reis M, Zambon M, Toro I, Ribeiro J, Baracat

E. Foreign body aspiration in children: clinical aspects, radiological aspects and bronchoscopic treatment. J Bras Pneumol 2008; 34(2): 74-82.

Foltran F, Ballali S, Rodriguez H, Arjan Sebastian, Passali D, Gulati A, et al. Inhaled Foreign Bodies in Children: A Global Perspective On Their Epidemiological, Clinical, and Preventive Aspects. Pediatric Pulmonology 2013; 48: 344- 51.

Amith I, Naragund RS, Mudhol AS, Harugop PH, Patil PS, Hajare VV. Tracheo-Bronchial Foreign Body Aspiration in Children: A One Year Descriptive Study. Indian Journal of Otolaryngology and Head Neck Surgery 2014; 66 (1): 180-5.

Boufersaoui A, Smati L, Benhalla KN, Boukari R, Smail S, Anik K, et al. Foreign body aspiration in children: Experience from 2624 patients. International Journal of Pediatric Otorhinolaryngology 2013; 77: 1683-8.

Huankang Z, Kuanlin X, Xiaolin H, Witt D. Comparison between tracheal foreign body and bronchial foreign body: A review of 1007 cases. International Journal of Pediatric Otorhinolaryngology 2012; 1719-25.

Cohen S, Avital A, Godfrey S, Gross M, Kerem E, Springer C, et al. Suspected Foreign Body Inhalation in Children: What Are the Indications for Bronchoscopy? The Journal of Pediatrics 2009; 1-5.

Hegde SV, Hui PK, Lee EY3. Tracheobronchial foreign bodies in children: imaging assessment. Seminars in Ultrasound, CT and MR 2015; 36 (1): 8-20.

Divisi D, Di Tommaso S, Garramone M, et al. Foreign bodies aspirated in children: role of bronchoscopy. Thoracic Cardiovascular Surgery 2007; 55:249-52.

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How to Cite

Rodrigues M, Teixeira J, Nascimento P, Carvalho S, Gonçalves A, Almeida J, Ribeiro C. FOREIGN BODY ASPIRATION IN CHILDREN: A HIDDEN DANGER. REVNEC [Internet]. 2016Sep.30 [cited 2024May28];25(3):173-6. Available from:



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