• Respir Med Case Rep · Jan 2020

    Case Reports

    Upper airway obstruction in an adolescent: Can airway foreign bodies be missed without self-reporting?

    • Hiroshi Fukumasa, Satoshi Tsuji, Kengo Kawamura, and Nao Nishimura.
    • Children's Medical Center, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
    • Respir Med Case Rep. 2020 Jan 1; 29: 101029.

    AbstractUpper airway obstruction due to foreign body aspiration is rare in adolescents. Diagnosis of the same is difficult, and incorrect, delay of treatment is common in patients with no aspiration history. Herein, we describe the case of a 15-year-old boy who presented with upper airway obstruction because of swallowing chewing gum 4 days before presentation. The patient was initially misdiagnosed and was scheduled for an emergency tracheotomy. However, this unnecessary surgical procedure was narrowly avoided because his symptoms resolved after he expelled the chewing gum from his airway. Despite being questioned several times about aspiration of any foreign bodies, he did not self-report the incident because he did not suspect that his symptoms were due to swallowing of the chewing gum.© 2020 The Authors.

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