Chronic Foreign Body Ingestion Causing Posterior Mediastinal Mass: A Case Report

Nastaran Sadat  Mahdavi; Javad  Ghoroubi; Ali Reza  Mahdavi; Shiva  Pourakbari; Morteza  Mortazavi

doi:10.18502/aacc.v12i2.20964

Nastaran Sadat Mahdavi Department of Anesthesiology, School of Medicine, Mofid Children’s Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Javad Ghoroubi Department of Surgery, School of Medicine, Mofid Children’s Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Ali Reza Mahdavi Department of Anesthesiology, School of Medicine, Mofid Children’s Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Shiva Pourakbari Shahid Beheshti University of Medical Science, Tehran, Iran.
Morteza Mortazavi Shahid Beheshti University of Medical Science, Tehran, Iran.

DOI: https://doi.org/10.18502/aacc.v12i2.20964

Keywords: Posterior mediastinal mass; Foreign body; Pediatrics; Anesthesia; Thoracotomy

Abstract

Posterior mediastinal masses pose challenges for anesthesiologists due to their compressive nature. The most frequently used surgical approach is thoracotomy and anesthesia involves awareness of potential complications and airway management strategies. Among different types of foreign bodies (FBs), the esophageal FBs are one of the most common pediatric emergencies among infants and young children and the proximal part is the most common site. Presentation can range from being asymptomatic to symptoms such as vomiting, dysphagia, and drooling, or respiratory issues like coughing, wheezing, choking, or stridor. In this report, we present a case of a posterior mediastinal mass in a child with a history of respiratory disorders and multiple treatment courses.