[Intrabronchial inhaled seed migration. Value of ultrasonography in the diagnosis of pleural-cutaneous fistula].
We report two cases of inhalation of seeds in infants aged 11 months and two years. In the first the syndrome of inhalation had not been apreciated. The seed blocked the left bronchus, provoking an obstructive emphysema with superinfection. The outcome was statisfactory after removal by bronchoscopy. In the second case although the aspiration of the particle was appreciated the endoscopy was performed too late to prevent the migration of the seed. After having produced a pneumonia it crossed the pleura and gave a subcutaneous swelling. This migration could in part be followed by ultrasound which enabled the appropriate moment for surgical exploration to be defined. These two cases show the two possible evolutions when the inhalation of a seed occurs and the contribution that can be made by ultrasound.
Giudicelli
J
J
Service de Pédiatrie, Hôpital Lyon-Sud, Pierre-Bénite.
Chapelon
C
C
Louis
D
D
André
C
C
Bellon
G
G
D001980:Bronchi; D002648:Child; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000209:etiology; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology; D005548:Foreign-Body Migration / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D012639:Seeds; D014463:Ultrasonography