{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T18:58:32Z","timestamp":1784833112962,"version":"3.55.0"},"reference-count":11,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>Foreign body aspiration is common in the pediatric age group, especially in males. Despite the high frequency of this potentially life-threatening event, it is not always easy to recognize it given the high variability of the clinical presentation and the potential of \u201cpauci-symptomatic\u201d inhalation. Moreover, a variable latency of the onset of symptoms since the moment of aspiration may be possible determining difficulties in the identification of the inhalation on an anamnestic basis. We describe the case of a 19-month-old boy who accessed the emergency room initially for a head trauma. The clinical evaluation, however, revealed an unexplained serious respiratory distress needing tracheal intubation. After our evaluation, we hypothesized that the severe respiratory distress determined an altered state of consciousness with following head trauma. The radiological findings raised the suspicion of foreign body aspiration for the presence of an atelectasis of the entire left lung. The computed tomography showed an abrupt interruption of the main bronchus at 12 mm from the hull. The following bronchoscopy identified an almond of 2 cm. We will review the literature to underline the diagnostic issues behind foreign body aspiration in children by highlighting the diagnostic clues that are helpful for emergency clinicians in the management of this condition.<\/jats:p>","DOI":"10.3390\/pediatric14010012","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T04:42:27Z","timestamp":1644468147000},"page":"81-85","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Foreign Body Aspiration in Children\u2014Diagnostic Clues through a Clinical Case"],"prefix":"10.3390","volume":"14","author":[{"given":"Elisabetta","family":"D\u2019Addio","sequence":"first","affiliation":[{"name":"Department of the Women, Children and General and Specialist Surgery, Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pier Luigi","family":"Palma","sequence":"additional","affiliation":[{"name":"Department of the Women, Children and General and Specialist Surgery, Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5877-3757","authenticated-orcid":false,"given":"Anna","family":"Di Sessa","sequence":"additional","affiliation":[{"name":"Department of the Women, Children and General and Specialist Surgery, Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Guarino","sequence":"additional","affiliation":[{"name":"Department of the Women, Children and General and Specialist Surgery, Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4682-0170","authenticated-orcid":false,"given":"Pierluigi","family":"Marzuillo","sequence":"additional","affiliation":[{"name":"Department of the Women, Children and General and Specialist Surgery, Universit\u00e0 Degli Studi Della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7281-6541","authenticated-orcid":false,"given":"Andrea","family":"Apicella","sequence":"additional","affiliation":[{"name":"Peditric Emergency Department, A.O.R.N Santobono-Pausilipon Santobono, 80129 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1111\/j.1442-200x.2005.02136.x","article-title":"Foreign body aspiration in children","volume":"47","author":"Midulla","year":"2005","journal-title":"Pediatr. Int."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.ijporl.2017.03.013","article-title":"Foreign body aspiration in children: Focus on the impact of delayed treatment","volume":"96","author":"Chen","year":"2017","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.anorl.2010.12.011","article-title":"Diagnostic value of various investigations in children with suspected foreign body aspiration: Review","volume":"128","author":"Hitter","year":"2011","journal-title":"Eur. Ann. Otorhinolaryngol. Head Neck Dis."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"322","DOI":"10.7150\/ijms.6.322","article-title":"Foreign body aspirations in Infancy: A 20-year experience 2009","volume":"6","author":"Saki","year":"2009","journal-title":"Int. J. Med. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/0194599816644410","article-title":"Predictors of foreign body aspiration in children","volume":"155","author":"Sink","year":"2016","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Janahi, I.A., Khan, S., Chandra, P., Al-Marri, N., Saadoon, A., Al-Naimi, L., Al-Thani, M., and Greer, W. (2017). A new clinical algorithm scoring for management of suspected foreign body aspiration in children. BMC Pulm. Med., 17.","DOI":"10.1186\/s12890-017-0406-6"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.ijporl.2006.10.006","article-title":"Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms","volume":"71","author":"Karakoc","year":"2007","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_8","unstructured":"Benetti, G.L., Iozzi, C., and Atzeni, M. (2015). Inalazione di corpo estraneo: Uno \u201cstrano caso\u201d. Med. Bambino Pagine Elettron., 18."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.jpedsurg.2019.09.045","article-title":"Avoiding unnecessary bronchoscopy in children with suspected foreign body aspiration using computed tomography","volume":"55","author":"Gibbons","year":"2020","journal-title":"J. Pediatr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/j.jpedsurg.2019.12.015","article-title":"New scoring system to predict foreign body aspiration in children","volume":"55","author":"Arslan","year":"2020","journal-title":"J. Pediatr. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1177\/0145561319839900","article-title":"Foreign body aspiration in infants and older children: A comparative study","volume":"99","author":"Vainer","year":"2020","journal-title":"Ear Nose Throat J."}],"container-title":["Pediatric Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7503\/14\/1\/12\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:17:22Z","timestamp":1760134642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7503\/14\/1\/12"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,10]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["pediatric14010012"],"URL":"https:\/\/doi.org\/10.3390\/pediatric14010012","relation":{},"ISSN":["2036-7503"],"issn-type":[{"value":"2036-7503","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,10]]}}}