Therapeutic bronchoscopy in a pediatric patient with near drowning in a septic tank
Patiño-Galeana, José Luis1; Silva-Lira, Linda Michelle1; Torres-Sánchez, Noemí1; Montaño-Martínez, Carlos1
2021, Number 1
2021; 80 (1)
ABSTRACT
Introduction: Drowning and near drowning are serious and common events in pediatric patients that usually occur in fresh and/or salt water. Aspiration of organic and/or inorganic content is rare. Therapeutic bronchoscopy is used in isolated cases. Case report: We report the case of a 2 year old male patient with near drowning in the septic tank, its clinical, radiological and endoscopic correlation. Conclusion: Therapeutic bronchoscopy was the complementary procedure for the resolution of the event of aspiration of organic and inorganic material.
KEYWORDS
Drowning, near drowning, septic tank, tomography, bronchoscopy.
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Figura 1:A) Radiografía anteroposterior. Engrosamiento peribronquial de predominio central, ocupación alveolar difusa bilateral, atelectasia basal derecha, estatus de intubación orotraqueal. B) Intubación selectiva del bronquio derecho con colapso pulmonar y elevación secundaria del hemidiafragma en el lado izquierdo. Engrosamiento de las paredes bronquiales, así como imágenes hiperdensas sugestivas de calcificaciones en pared y luz de los trayectos bronquiales segmentarios en forma bilateral y subsegmentarios en el lóbulo inferior izquierdo. C) Broncoscopia flexible. Se observa edema e hiperemia de la mucosa endobronquial moderada con zonas de isquemia sobre la pared anterior de la tráquea precarinal y supuración broncopulmonar bilateral, restos de contenido inorgánico (arena) sobre carina para el lóbulo basal derecho. D) Broncoscopia flexible. Se observa mucosa endobronquial con edema e hiperemia leve con presencia de cuerpo extraño (piedra) que ocluye la entrada del segmento seis derecho.