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Fulltext Foreign body ingestion in an infant: A high index of suspicion is required

Mohamad Ishak LA, Khor KG, Tan SN

Pediatr Investig, 2019 Sep;3(3):188-190.
PMID: 32851316 DOI: 10.1002/ped4.12149

INTRODUCTION: The incidence of foreign body ingestion in the upper gastrointestinal tract accounts for 75%-85% of foreign body ingestions in pediatric patients.
CASE PRESENTATION: An 8-month old boy presented with vomiting and was referred to the otorhinolaryngology team based on his mother's suspicion that her child might have ingested a foreign body. Flexible laryngoscopy revealed a phone screen protector at the vallecular region. The foreign body was removed in the operating theatre.
CONCLUSION: Foreign body ingestion should always be suspected in young patients. Consideration of the patient's symptoms, level of lodgement, and type of foreign body will determine whether immediate intervention or a conservative approach is warranted.
Fulltext Isolated congenital tracheal stenosis: A rare and deadly condition

Arunathan R, Ariffin AHZ, Khor KG, Tan SN

Pediatr Investig, 2019 Sep;3(3):191-193.
PMID: 32851317 DOI: 10.1002/ped4.12148

INTRODUCTION: Congenital tracheal stenosis (CTS) is a serious and rare condition. In most cases, CTS is associated with cardiopulmonary abnormalities; however, isolated CTS is present in 10%-30% of patients. The severity of the disorder is dependent on the symptoms, which correlate with the CTS classification.
CASE PRESENTATION: We discuss our findings in an infant who presented with severe respiratory compromise where incidental intra-operative findings revealed CTS with no cardiopulmonary abnormalities. Because of a lack of resources in the emergency department, we created a tracheostoma and inserted an endotracheal tube.
CONCLUSION: The main aim in treating CTS is to secure the airway and provide sufficient oxygen.

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