گزارش يك مورد انسداد راه هوايي فوقاني و ارست تنفسي هنگام خارج كردن اندوسكوپيك تريكوبزوار

Case Report9. Respiratory arrest due to airway obstruction following endoscopic removal of trichobezoars

A trichobezoar is a ball of swallowed hair that collects in the stomach and fails to pass through the intestines. Upper gastrointestinal endoscopy is usually useful for diagnosis and retrieval of a portion of the gastric Trichobezoars but have Complications. Upper airway obstruction may occur during removal of bezoar. This complication may be life threatening. We report a 17-year-old girl during diagnostic upper GI endoscopy, a large piece of hairball compressed the upper airway, leading cyanosis, respiratory arrest and cardiovascular collapse. The patient immediately transferred to operation room for emergency esophagoscopy. On the operation room, after hemodynamic stabilization, the otolaryngologist removed the large piece by esophagoscope. Then the patient was transferred to ICU ward with spontaneous ventilation. The day after, she became stable and consciousness.