Expectoration of an Occult Foreign Body Six Asymptomatic Years After Aspiration

Pinals, Mark; Pinals, Donald; Tracy, John D.; Brandstetter, Robert D.

doi:10.1378/chest.103.6.1930b

“…In our study, five patients had different locations of FBs under rigid bronchoscopy and fiberoptic bronchoscopy. (5) Patients with bronchial comorbidities may need repeated bronchoscopy. The location of the foreign body may be too deep or the bronchial stenosis makes the foreign body difficult to reach.…”

Section: Discussionmentioning

confidence: 99%

“…Bronchoscopy is often required to detect the presence of foreign bodies. Such cases are called prolonged, suspected, or occult FBA [3][4][5]. Asymptomatic or long-standing occult FBA can cause irreversible complications such as bronchiectasis, bronchopleural fistula, recurrent pneumonia, lung abscess, atelectasis and even death [1].…”

Section: Introductionmentioning

confidence: 99%

Occult foreign body aspirations in pediatric patients: 20-years of experience

Liu

¹

,

Ding

²

,

An

³

et al. 2020

View full text Add to dashboard Cite

Background The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n = 25, 71.4%). Coughing (n = 35, 100%) and wheezing (n = 18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n = 10) and the most common inorganic foreign bodies were pen caps (n = 5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

show abstract

“…In our study, ve patients had different locations of FBs under rigid bronchoscopy and beroptic bronchoscopy. (5) Patients with bronchial comorbidities may need repeated bronchoscopy. The location of the foreign body may be too deep or the bronchial stenosis makes the foreign body di cult to reach.…”

Section: Discussionmentioning

confidence: 99%

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

Liu

¹

,

Ding

²

,

An

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

show abstract

“…(4) FBs are more likely to fall into the right lung and lower lobe, but coughing and body position changes can cause the position of FBs in the trachea to change. In our study, ve patients had different locations of FBs under rigid bronchoscopy and beroptic bronchoscopy (5). Patients with bronchial comorbidities may need repeated bronchoscopy.…”

mentioning

confidence: 86%

“…Bronchoscopy is often required to detect the presence of foreign bodies. Such cases are called prolonged, suspected, or occult FBA [3][4][5] . Asymptomatic or long-standing occult FBA can cause irreversible complications such as bronchiectasis, bronchopleural stula, recurrent pneumonia, lung abscess, atelectasis and even death 1 .…”

Section: Introductionmentioning

confidence: 99%

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

Liu

¹

,

Ding

²

,

An

³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

show abstract

Expectoration of an Occult Foreign Body Six Asymptomatic Years After Aspiration

Cited by 8 publications

References 2 publications

Occult foreign body aspirations in pediatric patients: 20-years of experience

Occult foreign body aspirations in pediatric patients: 20-years of experience

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

Contact Info

Product

Resources

About