Aspirated bezoar in a pediatric patient: a case report.
This case report describes an 11-year-old boy with a known esophageal bezoar admitted to surgery for esophagogas-troduodenoscopy with biopsy and possible removal of the bezoar. On induction, a copious amount of fluid and solid food particulate was noted in the posterior oropharynx, interfering with immediate intubation. After clearing of the oropharynx, the patient was intubated. A bronchoscopy revealed aspirated food materials. A stat intraoperative consultation was initiated for rigid bronchoscope with bronchial suctioning to clear aspirated undigested food particles and an esophageal scope to remove the bezoar mass in pieces. Postoperatively, the parents were notified that the jejunal mass would require further workup with possible surgical removal.
Macksey
Lynn
L
University of Pittsburgh Physicians, St Margaret's Hospital, PA, USA. LynnMacksey@msn.com
D000768:Anesthesia, General / Q000379:methods / Q000451:nursing; D001630:Bezoars / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001706:Biopsy; D001999:Bronchoscopy / Q000379:methods; D015984:Causality; D002648:Child; D016145:Endoscopy, Digestive System / Q000379:methods; D004947:Esophagus; D006801:Humans; D007430:Intraoperative Care / Q000379:methods / Q000451:nursing; D007442:Intubation, Intratracheal / Q000379:methods; D007583:Jejunum; D008297:Male; D009719:Nurse Anesthetists; D013270:Stomach / Q000002:abnormalities / Q000601:surgery; D013396:Suction