Tracheobronchial straight metallic pin aspiration in young Jordanian females

Saudi Med J. 2007 Jun;28(6):913-6.


Objective: To define the clinical spectrum of tracheobronchial straight metallic pin aspiration in adults, assess predisposing conditions, evaluate the efficacy of bronchoscopy, and determine the outcome and complications at the largest 2 hospitals in Jordan.

Methods: Retrospective analysis of 60 consecutive clinical cases from 2 referral-based medical centers (32 patients at King Hussein Medical Center [KHMC] and 28 patients at Al-Basheer Hospital). Medical records of adult patients (>13 years of age) who presented with history of straight metallic pin aspiration over 6-year period (July 2000 and July 2006) were analyzed. Clinico-radiological features and location of the pins were studied. The flexible fiberoptic bronchoscopy (FFB) was used for foreign body (FB) identification and removal in all KHMC patients; video assisted rigid bronchoscope under general anesthesia was used at Al-Basheer Hospital.

Results: All patients were females <28 years of age. Fifty-six patients (93%) presented within the first 24 hours after aspiration. Medical history was suggestive of FB aspiration in all patients. Chest x-rays demonstrated the radio opaque pins in all patients. At bronchoscopy, the intermediate bronchus was the most common site of FB lodgment (62%). Ninety-two percent of patients were discharged on the same day of the procedure.

Conclusion: Tracheobronchial straight metallic pins are relatively frequent FB in Jordanian young females and can occur in a very specific clinical setting. Removal of these FBs can usually be accomplished successfully by FFB.

MeSH terms

  • Adolescent
  • Bronchi*
  • Bronchoscopy
  • Female
  • Fiber Optic Technology
  • Foreign Bodies / epidemiology*
  • Foreign Bodies / therapy
  • Humans
  • Jordan / epidemiology
  • Metals
  • Respiratory Aspiration
  • Trachea*


  • Metals