CRA86 NEEDLE PIN EXTRACTION VIA FIBEROPTIC BRONCHOSCOPY USING FORCEPS BIOPSY: A SERIAL CASES

Bambang Rojullun Taufik¹, Oea Khairsyaf¹, Russilawati², Dimas Bayu Firdaus³

¹Departement of Pulmonology and Respiratory Medicine, Faculty of Medicine Andalas University, Padang, Indonesia

Introduction
In Muslim countries, some females wear hijabs daily, secured with pin needles. During activities like ablution, they may hold pins in their mouths, risking inhalation. We present three cases of female with pin needle aspiration in regard symptoms, location, and evacuation procedure.

Case Reports
Case 1: A 13-year-old girl inhaled a needle pin 48 hours prior presented to the ER in asymptomatic. The pin was in the left lower lung lobe. FOB  4.5mm–5.5mm and forceps biopsy was used for evacuation. The procedure lasted 6 minutes. The main difficulty encountered was hypersecretion around the pin.

Case 2: A 15-year-old girl inhaled a needle pin 48 hours prior presented to the ER in asymptomatic. The pin was in the left lower lung lobe. FOB 4.5mm–5.5mm and forceps biopsy was used for evacuation. The procedure lasted 35 minutes. The difficulty was that the pin had already infiltrated the bronchial wall.

Case 3: A 21-year-old female inhaled a needle pin 48 hours prior presented to the ER in asymptomatic. The pin was in the right lower lung lobe. FOB 5.0mm–6.0mm and forceps biopsy was used for evacuation. The procedure lasted 4 minutes. The difficulty was that the pin had already infiltrated the bronchial wall.

Discussion
The symptoms were mostly mild, with no asphyxia. The location was varied among the patients. All the evacuation procedure was success used FOB and forceps biopsy with varied time needed. No significant abnormalities were found during the procedure within 72 hours.

Conclusion
FOB in majority cases was adequate to facilitate forceps biopsy in removing the needle from bronchial tree.