Inhaled foreign body overlooked for 25 years in an adult.

General Thoracic and Cardiovascular Surgery
Mitsuhiro KamiyoshiharaIzumi Takeyoshi

Abstract

A 30-year-old man was admitted to our hospital because of refractory pneumonia. He had been repeatedly hospitalized owing to pneumonia recurring in the left lower lung field and had a 7-day history of hemoptysis at the age of 11. Chest computed tomography demonstrated reduced volume of the left lower lobe with parenchymal consolidation. The patient preferred surgery as first-line treatment rather than other interventions because he had suffered from refractory pneumonia or local pleuritis for a long time. Left lower lobectomy was performed. The resected specimen revealed obstruction of the posterior basal segment bronchus in which a foreign body (FB) was found embedded in granulation tissue. The FB was a plastic air-pistol pellet. After further questioning, the patient remembered aspirating the pellet while playing with the pistol at the age of 5. When it is difficult to remove a long-standing intrabronchial FB, we recommend surgery.

References

May 1, 1994·Journal of Pediatric Surgery·R E BlackM E Matlak
May 1, 1997·Respiratory Medicine·S A al-MajedK al-Kattan
Jul 5, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sameh Ibrahim SersarMuna Mohammed Hafez

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Citations

Oct 7, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·J P García IñiguezR Tapia Moreno
Dec 28, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Kai-Hu ShiSheng-Song Xu
Nov 12, 2016·Saudi Journal of Anaesthesia·W M HajjarS A Al-Nassar
Sep 25, 2017·BMJ Case Reports·Nicholas DennyMohammed Munavvar

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