Accidental Inhalation of Scarf Pin: A Distinct Respiratory Emergency

Background The accidental inhalation of scarf pins, a growing and preventable respiratory emergency, predominantly affects veiled Muslim women who hold pins in their mouths while adjusting headscarves. This unique cultural hazard poses significant diagnostic and therapeutic challenges and has important public health implications. Objective To present a 20-year institutional experience with scarf pin inhalation, detailing the epidemiological, clinical, and radiological characteristics, management approaches, outcomes, and the importance of preventive strategies. Methods We conducted a retrospective descriptive study at the Respiratory Department of Ibn Rochd University Hospital, Casablanca, Morocco, analyzing medical records of 82 female patients admitted for scarf pin inhalation between January 2005 and January 2025. Data collected included demographic features, clinical presentation, imaging findings, management, outcomes, and procedure-related complications. Results All cases involved veiled Muslim women, primarily adolescents and young adults. Most incidents occurred during hijab adjustment, often precipitated by talking, laughing, or sudden inspiration while holding pins between the lips. The diagnosis was confirmed radiologically in all cases. Management was mainly via bronchoscopy, with surgical intervention reserved for six cases. Conclusion The accidental inhalation of scarf pins represents a rising respiratory emergency closely linked to cultural practices. Increasing healthcare providers' vigilance and implementing focused educational initiatives are crucial steps to lower the occurrence and prevent the complications of this preventable condition.