A CASE OF TURBAN PIN INHALATION SYNDROME IN A YOUNG WOMAN

TOPIC: Cultural Diversity TYPE: Medical Student/Resident Case Reports INTRODUCTION: Turban Pin Inhalation Syndrome (TPIS) is mainly reported in countries the Middle East with increased prevalence younger females [1]. Incidences can be found diverse cultural populations such as intercity areas like New York City. CASE PRESENTATION: A 38 year old woman no past medical history presents to emergency room an hour after accidentally inhaling a hair pin. Patient sensed something stuck her throat and admitted persistent hoarseness. denies radiating pain, shortness of breath, chest or hemoptysis. Physical exam reveals normal vitals. sitting comfortably respiratory distress, wheezing, drooling, stridor. X-ray pin left main bronchus without pneumothorax pneumomediastinum. After obtaining informed consent for flexible bronchoscopy, patient was intubated removed three pronged forceps via bronchoscopy (ER). discharged directly from ER successful extubation. DISCUSSION: Patients TPIS usually present pins held their mouth while adjusting scarves. experience brief episode intense coughing feeling suffocation, which known penetration syndrome. are typically asymptomatic shortly afterwards, leads delay seeking treatment. Early intervention important because risk distal mobilization through bronchial wall lung parenchyma leading The average time between inhalation surgery 10 days. Longer term complications include granuloma formation into tree, recurrent pneumonia, obstructive emphysema, pleural effusion, bronchiectasis, pulmonary abscess. Diagnosis confirmed that shows linear opacity. In some reports, located right bronchus, but other studies, there predilection either side Rigid standard modality retrieve pin, would require removal operating [1, 2, 3]. Flexible used foreign body at bedside, saves more efficient terms logistics. If physicians unable invasive measures thoracotomy parenchymal resection. CONCLUSIONS: not only East, also multi-cultural areas. These patients hospitals where they undergo same day ER. REFERENCE #1: N. Rizk, N.E. Gwely, V.L. Biron, U. Hamza. Metallic hairpin inhalation: healthcare problem facing young Muslim females. J Otolaryngol Head Neck Surg, 43 (2014 Aug 2), p. 21 #2: O. Ilan, R. Eliashar, Hirshoren, K. Hamdan, M. Gross. aspiration: new fashion, Laryngoscope, 122 (4) (2012 Apr), pp. 916-919 #3: Dikensoy, C. Usalan, A. Filiz. Foreign clinical utility bronchoscopy. Postgrad Med J, 78 (2002), 399-403 DISCLOSURES: No relevant relationships by Amanda Eng, source=Web Response rattan patel,