Scarf pin inhalation: clinical characteristics and surgical treatment

Journal of Cardiothoracic Surgery

Abdellatif Benosman³  Abdellah Achir³  Lamboni Damessane²  Tchely-Oaly Mbola²  Fahd Ouchen²  Mehdi EL Maidi²  Khalid Bouti¹  Mohammed Bouchikh³  Hicham Fenane² 

[1] Respiratory Department, Regional Hospital Center of Tetuan, Tetuan, Morocco;Department of Thoracic Surgery, Ibn Sina University Hospital, Rabat Principale 10001, Morocco;Unit of pedagogy and research in Thoracic Surgery, Faculty of Medicine and Pharmacy, University Mohamed V, Rabat, Morocco

关键词: Thoracotomy;    Bronchoscopy;    Inhalation;    Foreign body;    Hairpin;   

Others  :  1209355
DOI  :  10.1186/s13019-015-0268-z

 received in 2014-12-23, accepted in 2015-04-17,  发布年份 2015

【 摘 要 】

Objective

Scarf pin inhalation is becoming a frequent accident among young Moroccan woman who wears islamic veil. The aim of the study is to highlight indications, principles and challenges of surgical removal of that particular foreign body.

Methods

Twenty-eight patients were hospitalized in Thoracic Surgery department of Ibn Sina Hospital at Rabat between January 2008 and June 2013 for surgical removal of a pin scarf after unsuccessful endoscopy.

Results

Mean age was 20 years. Inhalation was accidental in all cases. Average interval between inhalation and surgery was 10 days. Penetration syndrome was found in 82% of patients. Pin was located at the left tracheo-bronchial tree in 53.5% of cases and at the right one in 46.4%. All were operated by thoracotomy. Surgery was conservative in all cases, and postoperative course was uneventful.

Conclusion

In case of failure endoscopic treatment, surgery remains the only alternative. It must be as conservative as possible. Short interval between inhalation accident and surgery prevents parenchymal resection.

【 授权许可】

   
2015 Fenane et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

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