Foreign Body Extraction in Presence of Severe Airway Edema in Pediatric Cases

Foreign body aspiration is a common emergency in pediatric requiring immediate intervention. Foreign bodies aspiration is an emergency that requires immediate intervention. We are describing management of foreign body aspiration with severe edema and inflammation. Patients underwent emergent bronchoscopy to confirm diagnoses. Initial bronchoscopy failed to extract the foreign body, so it was repositioned in lower part of the airway tree and was started on antibiotics, steroid, and nebulization. Second trail of bronchoscopy 48 hours later successfully removed the foreign body. The case report concludes that edematous and inflamed airway can be managed medically before safe removal of the foreign body. Repositioning the foreign body down allow more ventilation to non-obstructed part of the lung.