{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:00:27Z","timestamp":1792684827175,"version":"4.5.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>With early diagnosis, fiberoptic or rigid bronchoscopy methods are the gold standard in the management of tracheobronchial foreign body. Otherwise, nonrecognized bronchial foreign bodies cause irreversible damage to the airways and lungs. The deficiency of the health system noted in many developing countries such as Madagascar, combined with the fundamental problem relating to children\u2019s conditions, which are determined by social and educational factors, makes it almost impossible to provide early and appropriate management of the penetration syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>An 11-year-old Malagasy female patient was referred to our hospital for an investigation of the etiology of the patient\u2019s hemoptysis. The investigations revealed a localized bronchiectasis and atelectasis due to a foreign body obstructing the left main bronchus. Based on the hemoptysis and left lung almost destroyed by an occlusive lesion within, we decided to proceed with left pneumonectomy. A retrospective interrogation revealed a choking episode 4\u00a0years prior in elementary school after the child sucked on a pen cap and involuntarily aspirated it. Two years after the pneumonectomy, our patient was doing well and was asymptomatic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this case report, we describe a rare case of a late presentation of foreign body aspiration that resulted in a left pneumonectomy in a child. Despite our favorable results, pneumonectomy must be the preferred last option. Preventive actions remain the optimal approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13256-021-03015-w","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T12:21:39Z","timestamp":1635164499000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pneumonectomy in a child due to belated diagnosis of foreign body aspiration: a case report"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6534-351X","authenticated-orcid":false,"given":"Narindra N. M.","family":"Razafimanjato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rindra A.","family":"Ralaivao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsiry D. N.","family":"Ravelomihary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis A.","family":"Hunald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Louis H.","family":"Rakotovao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"issue":"3","key":"3015_CR1","doi-asserted-by":"publisher","first-page":"220","DOI":"10.5455\/medarh.2018.72.220-223","volume":"72","author":"F Brick","year":"2018","unstructured":"Brick F, Umihanic S, Altumbabic H, Ramas A, Salkic A, Umihanic S, et\u00a0al. Death as a consequence of foreign body aspiration in children. Med Arch. 2018;72(3):220\u20133. https:\/\/doi.org\/10.5455\/medarh.2018.72.220-223.","journal-title":"Med Arch"},{"key":"3015_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jscr\/rjz258","volume":"9","author":"Y Amano","year":"2019","unstructured":"Amano Y, Takanashi Y, Neyatani H. Emergency left pneumonectomy for foreign body aspiration: a case report. J Surg Case Rep. 2019;9:1\u20133. https:\/\/doi.org\/10.1093\/jscr\/rjz258.","journal-title":"J Surg Case Rep"},{"issue":"1","key":"3015_CR3","first-page":"52","volume":"20","author":"A Nzomvuama","year":"2016","unstructured":"Nzomvuama A, Nsiala J, Kayembe JM, Nsiala J, Kayembe JM, Mbala E, et\u00a0al. Pneumonectomie pour corps \u00e9tranger intrabronchique. Indication justifi\u00e9e ou ran\u00e7on de la pauvret\u00e9? \u00c0 propos d\u2019un cas. J ChirThorac Cardiovasc. 2016;20(1):52\u20134.","journal-title":"J ChirThorac Cardiovasc."},{"issue":"1","key":"3015_CR4","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/j.athoracsur.2009.10.007","volume":"89","author":"A Kosar","year":"2010","unstructured":"Kosar A, Orki A, Kiral H, Demirhan R, Arman B. Pneumonectomy in children for destroyed lung: evaluation of 18 cases. Ann Thorac Surg. 2010;89(1):226\u201331. https:\/\/doi.org\/10.1016\/j.athoracsur.2009.10.007.","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"3015_CR5","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1177\/0218492316653864","volume":"24","author":"R Afghani","year":"2016","unstructured":"Afghani R, Khandashpour Ghomi M, Khandoozi SR, Yari B. Neglected foreign body aspiration mimicking bronchial carcinoma. Asian Cardiovasc Thorac Ann. 2016;24(6):601\u20133. https:\/\/doi.org\/10.1177\/0218492316653864.","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"9","key":"3015_CR6","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1177\/0218492315592995","volume":"23","author":"PK Kuba","year":"2015","unstructured":"Kuba PK, Sharma J, Sharma AK. Unusual bronchial foreign body. Asian Cardiovasc Thorac Ann. 2015;23(9):1132\u20134. https:\/\/doi.org\/10.1177\/0218492315592995.","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"2","key":"3015_CR7","first-page":"108","volume":"17","author":"F Kendja","year":"2013","unstructured":"Kendja F, Ouede R, Ehounoud H, Demine B, Yapo P, Tanauh Y. Poumons d\u00e9truits de l\u2019enfant sur corps \u00e9trangers: indications et r\u00e9sultats. J ChirThorac Cardiovasc. 2013;17(2):108\u201311.","journal-title":"J ChirThorac Cardiovasc"},{"issue":"4","key":"3015_CR8","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1510\/icvts.2010.249516","volume":"12","author":"J Isherwood","year":"2011","unstructured":"Isherwood J, Firmin R. Late presentation of foreign body aspiration requiring extracorporeal membrane oxygenation support for surgical management. Interact Cardiovasc Thorac Surg. 2011;12(4):631\u20132. https:\/\/doi.org\/10.1510\/icvts.2010.249516.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"02","key":"3015_CR9","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1055\/s-0032-1323159","volume":"23","author":"S Yalcin","year":"2013","unstructured":"Yalcin S, Ciftci A, Karnak I, Ekinci S, Tanyel FC, \u015eenocak M. Childhood pneumonectomies: two decades\u2019 experience of a referral center. Eur J Pediatr Surg. 2013;23(02):115\u201320. https:\/\/doi.org\/10.1055\/s-0032-1323159.","journal-title":"Eur J Pediatr Surg"},{"issue":"6","key":"3015_CR10","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1007\/s11748-018-01055-6","volume":"67","author":"F Sayir","year":"2019","unstructured":"Sayir F, Ocakcioglu I, \u015eehito\u011fullar\u0131 A, \u00c7obano\u011flu U. Clinical analysis of pneumonectomy for destroyed lung: a retrospective study of 32 patients. Gen Thorac Cardiovas. 2019;67(6):530\u20136. https:\/\/doi.org\/10.1007\/s11748-018-01055-6.","journal-title":"Gen Thorac Cardiovas"},{"issue":"3","key":"3015_CR11","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s00431-008-0751-9","volume":"168","author":"N Tahir","year":"2009","unstructured":"Tahir N, Ramsden WH, Stringer MD. Tracheobronchial anatomy and the distribution of inhaled foreign bodies in children. Eur J Pediatr. 2009;168(3):289. https:\/\/doi.org\/10.1007\/s00431-008-0751-9.","journal-title":"Eur J Pediatr"},{"key":"3015_CR12","doi-asserted-by":"publisher","first-page":"2515","DOI":"10.2169\/internalmedicine.51.7672","volume":"51","author":"YC Dong","year":"2012","unstructured":"Dong YC, Zhou GW, Bai C, Huang HD, Sun QY, Huang Y, et\u00a0al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China. Intern Med. 2012;51:2515\u20139. https:\/\/doi.org\/10.2169\/internalmedicine.51.7672.","journal-title":"Intern Med"},{"issue":"1","key":"3015_CR13","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1111\/resp.12867","volume":"22","author":"V Giubergia","year":"2017","unstructured":"Giubergia V, Alessandrini F, Barrias C, Giuseppucci C, Reusmann A, Barrenechea M, et\u00a0al. Risk factors for morbidities and mortality in children following pneumonectomy. Respirology. 2017;22(1):187\u201391. https:\/\/doi.org\/10.1111\/resp.12867.","journal-title":"Respirology"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03015-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-03015-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03015-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T04:49:23Z","timestamp":1635223763000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-03015-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,20]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["3015"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-03015-w","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,20]]},"assertion":[{"value":"16 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that the involved patient gave informed consent for participation in research. The study was done according to the declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient's legal guardian for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no conflicts of interest to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"533"}}