15/12/2025
๐๐๐๐ญ ๐๐๐ข๐ง ๐๐ซ๐จ๐ง๐๐ก๐จ๐ญ๐จ๐ฆ๐ฒ ๐ข๐ง ๐ ๐๐ก๐ข๐ฅ๐: ๐๐๐ฆ๐จ๐ฏ๐ข๐ง๐ ๐๐ง ๐๐ฆ๐ฉ๐๐๐ญ๐๐ ๐
๐จ๐ซ๐๐ข๐ ๐ง ๐๐จ๐๐ฒ
๐๐ญ๐ก๐ข๐จ ๐๐๐๐๐ ๐๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ'๐ฌ pediatric surgery team recently managed a 7-year-old girl who presented with sudden onset coughing, vomiting, and shortness of breath, followed by chest pain, persistent cough, and fever,Chest CT revealed a hyperdense structure in the left lower lobe bronchus with collapse of the left lower lobe, concerning for a ๐ฅ๐๐๐ญ ๐ฅ๐จ๐ฐ๐๐ซ ๐ฅ๐จ๐๐ ๐๐ซ๐จ๐ง๐๐ก๐ข๐๐ฅ ๐๐จ๐ซ๐๐ข๐ ๐ง ๐๐จ๐๐ฒ, likely organic in nature. A rigid bronchoscopy was attempted but was unsuccessful to retrieve the object, leading to the decision for surgical removal via left main bronchotomy.
The patient was then scheduled for ๐๐๐๐ญ ๐๐๐ข๐ง ๐๐ซ๐จ๐ง๐๐ก๐จ๐ญ๐จ๐ฆ๐ฒ, which was successfully performed under general anesthesia. Through a muscle-sparing chest incision, the foreign body was located and removed, the bronchus was repaired and chest tube was placed to ensure lung expansion.
Postoperatively, she was closely monitored in our pediatric surgery unit with intravenous antibiotics, corticosteroids, analgesia, and supportive care. She remained stable, tolerated oral feeding, and showed no respiratory distress. The chest tube functioned well, and lung expansion was confirmed. The patient was discharged improved after a smooth recovery, with follow-up arranged.
On follow-up one week after discharge, the patient showed ๐ฌ๐ข๐ ๐ง๐ข๐๐ข๐๐๐ง๐ญ ๐๐ฅ๐ข๐ง๐ข๐๐๐ฅ ๐๐ง๐ ๐ซ๐๐๐ข๐จ๐ฅ๐จ๐ ๐ข๐๐๐ฅ ๐ข๐ฆ๐ฉ๐ซ๐จ๐ฏ๐๐ฆ๐๐ง๐ญ. She was breathing comfortably, tolerating oral feeds, and had no cough or fever. A chest X-ray demonstrated that the left lower lobe had re-expanded.
This case highlights our hospitalโs expertise in the management of complex pediatric airway conditions through a comprehensive multispecialty approach involving ๐ฉ๐๐๐ข๐๐ญ๐ซ๐ข๐ ๐ฌ๐ฎ๐ซ๐ ๐๐ซ๐ฒ, ๐๐๐, ๐๐ง๐ ๐ข๐ง๐ญ๐๐ง๐ฌ๐ข๐ฏ๐ ๐๐๐ซ๐, reinforced by the Full-time availabi