The role of 3D computed tomography (CT) imaging in the diagnosis of foreign body aspiration in children.

Abstract:

OBJECTIVE:The aim of this study was to improve the understanding of FBA in children and to decrease the rate of misdiagnosis, missed diagnosis and morbidity. PATIENTS AND METHODS:We analyzed the clinical features and the three-dimensional reconstructed CT images of 590 children with foreign body aspiration (FBA) in the Xuzhou area of the Jiangsu province. RESULTS:CT imaging revealed common complications of FBA including emphysema (n = 379), pneumonia (n = 174), and atelectasis (n = 26). The remaining 120 patients had no visible complications on the three-dimensional reconstructed CT images. Serious complications including pneumothorax, pneumomediastinum, subcutaneous emphysema, pneumatorrhachis could also be observed. The types of foreign bodies were diverse: the most common were peanuts and sunflower seeds. The diagnostic accuracy of the three-dimensional CT imaging was high, with a sensitivity and specificity of 99.83% and 99.89%, respectively. CONCLUSIONS:3D CT imaging is an accurate, non-invasive technique to evaluate children with suspected FBA that can help decrease the rate of misdiagnosis and eliminate a delay in treatment for this potentially life-threatening condition.

authors

Yang C,Hua R,Xu K,Hua X,Ma P,Zheng JN,Li SD,Li JS,Rong YT,Hu CF,Lu X,Ma H,Chen GH,Quan Q

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

265-73

issue

2

eissn

1128-3602

issn

2284-0729

journal_volume

19

pub_type

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