Clinical Features of Tracheobronchial Foreign Bodies in Adults According to the Risk of Aspiration

Kim, Yee Hyung; Yoo, Jee-Hong; Choi, Cheon Woong; Choi, Hye Sook; Kang, Hong Mo; Park, Myung Jae

doi:10.1378/chest.134.4_meetingabstracts.p10004

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“…Longstanding inhaled foreign bodies often pose challenge to patients in terms of connecting the current presenting symptoms with such history of accidental inhalation of FBs thus masking the exact medical diagnosis and diagnoses such as bronchial asthma may be established due to symptoms such as cough, wheezes, dyspnea and thus masquerading longstanding inhaled FBs [1] , [3] , [5] , [6] , [9] , [10] , [11] , [12] , [16] , [17] , [18] .…”

Section: Introductionmentioning

confidence: 99%

Unusual longstanding intrabronchial foreign body masquerading as intractable bronchial asthma in an adult: Case report and literature review

Abraham

Bukanu

Kimario

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Tracheo-bronchial foreign body inhalation is a very common encounter in clinical practice among pediatric patients and rarely seen among adults. When inhalation of foreign bodies occurs in adults then it tends to lodge within the right bronchial tree but in children it lodges in the central airways. Case presentation We present a 58 year old woman, known asthmatic for 20 years and non-smoker who presented to our clinic which history of chronic cough, wheezing and pulmonary infections that did not respond to regular antibiotics and the usual antiasthmatic medications. She reported to have inhaled a foreign body about 18 years earlier. Extraction of the foreign body was performed without complications. Clinical discussion A chest x-ray done was found to be normal and computerized tomography scan (CT scan) of the chest was ordered and revealed bronchial wall thickening with a calcified foreign body seen in the right intermediate bronchus. A combined rigid and flexible endoscopic bronchoscopy was performed and a chicken bone (measuring 2 cm × 1.5 cm) was extracted from the right intermediate bronchus with very minimal bleeding being encountered during and post bronchoscopy. Extraction of the foreign body was performed without complications. Post endoscopic intrabronchial foreign body removal, the patient recovered completely. Conclusion An intrabronchial foreign body being masked for more than a decade by co-existent bronchial asthma is a rare encounter. Moreover, adult patients with chronic cough should be handled with caution to rule out the possibility of FB aspiration.

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