RESUMEN
BACKGROUND: Foreign Body Aspiration is a common finding in children diagnosed based on clinical signs and radiological studies so that timely diagnosis and successful removal of the foreign body is essential to reduce complications and mortality. CASE PRESENTATION: In this study, we described a case of a 7-year old boy with a foreign airway body whose bronchoscopy was not successful in removing the foreign body, and the removal required open surgery. We also review the literature on Pediatric airway foreign bodies. DISCUSSION: The patient was discharged in good condition after being monitored and receiving antibiotics in the pediatric ward for seven days. CONCLUSION: Rigid bronchoscopy involves fewer complications and is more successful in removing the foreign body in children. However, a small percentage of children require open surgery for removal, which can be attributed to the size of the FB, its shape, how long the FB stays in the airways, and the changes that follow are involved and sufficient expertise in rigid bronchoscopy.
RESUMEN
Congenital diaphragmatic hernia (CDH) is caused due to abnormal formation of the muscular parts of diaphragm. The incidence of CDH in common births ranges from 1/25000 to 1/30000. Pulmonary hypoplasia and pulmonary hypertension are factors that associate with the increase of mortality and morbidity due to CDH. We presented a 68-year-old Iranian woman with abdominal pain and tenderness in right upper quadrant who was diagnosed as having CDH. The disease was detected using chest X-ray and chest and abdomen sonography and confirmed with chest and abdomen CT scan with and without oral contrast. A defect was revealed in posterolateral right diaphragm with omentum and transverse colon herniated through it. Right posterolateral thoracotomy was performed to cure the disease. CT and CXR were the two useful methods in diagnosis of CDH in this patient, although CDH detection prior to surgery is too challenging because of rare cases and different types of CDH. In order to improve clinical cares in adult CDH patients, investigating more cases and long term follow-up are recommended.
RESUMEN
Most authors believe that the best treatment for pulmonary hydatid disease is surgical evacuation. Although albendazole has been used prophylactically before surgery, there are many reports about increased incidence of the rupture of cyst after albendazole therapy, which can cause some complications. In this case report we present a patient with bilateral pulmonary hydatid cyst that was ruptured after using albendazole and different strategies were used for management of each cyst.