title: Late recognized nail aspiration in a child: case report.
abstract: Foreign body (FB) aspiration is common in children aged 0-3 years. Our case, a 2.5-year-old girl, presented with sudden onset of cough, fever and sputum; she had been treated twice for acute bronchitis four months ago. Resisting complaints led to an esophagoscopic examination in our Chest Surgery Clinic after a chest X-ray suggested FB in the esophagus, but no FB could be detected. A lateral chest X-ray revealed a FB with its sharp end targeting the trachea and its round end to the right hemithorax. Removal of the FB with forceps was not possible during rigid bronchoscopy. The FB was removed by thoracotomy and bronchotomy under general anesthesia. The removed FB was a nail measuring 6 cm in length. This case report should serve to stress the diversity of FB aspirations in childhood, the role of parental neglect, and that physicians should be aware of the possibility of FB in children with persistent cough.
authors.affiliation: Department of Chest Surgery, Yüzüncü Yıl University Faculty of Medicine, Van, Turkey. drucobanoglu@hotmail.com
authors.forename: Ufuk
authors.initials: U
authors.lastname: Çobanoğlu
authors.forename: Muhammed
authors.initials: M
authors.lastname: Can
authors.forename: Ismail
authors.initials: I
authors.lastname: Birincioğlu
authors.forename: Yeşim
authors.initials: Y
authors.lastname: Edirne
authors.forename: Mehmet
authors.initials: M
authors.lastname: Melek
mesh_terms: D001999:Bronchoscopy; D002675:Child, Preschool; D003371:Cough; D003937:Diagnosis, Differential; D004638:Emergency Treatment; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D011859:Radiography; D014132:Trachea