Spontaneous expulsion of unusual tracheobronchial foreign body

Abstract

An extremely rare case of long, thin and sharp pin in a young boy which was inhaled initially and defied removal at branchoscopy was eventually recovered in stool after a long and variable course through alimentary tract has been reported.

Natural expulsion of a sharp iron nail: Right main bronchus to the alimentary tract: A case report

“…In our case, the patient must have expectorated the foreign body and immediately swallowed it. During a cough, the exhaled air can travel at a speed of 100 miles per hour, blowing a stream of air along the airway to push away foreign objects 8 . In our case, the antibiotics and steroid might have relieved the mucosal edema and the foreign body was disimpacted due to cough.…”

Spontaneous expulsion of a mediastinal lymph node in carcinoma of the esophagus

“…There have been previous reports of spontaneous expulsions of metallic and non‐metallic foreign bodies from thetracheobronchial tree 1–4 . However, on medline search (using the words ‘spontaneous’ and ‘expulsions’) and to the best of our knowledge, there has been no such case of a mediastinal node being extruded spontaneously.…”

“…There have been previous reports of spontaneous expulsions of metallic and non-metallic foreign bodies from thetracheobronchial tree. [1][2][3][4] However, on medline search (using the words ÔspontaneousÕ and ÔexpulsionsÕ) and to the best of our knowledge, there has been no such case of a mediastinal node being extruded spontaneously. This is an unusual occurrence of partial expulsion of mediastinal lymph node mass with complete relief of symptoms that were life threatening.…”

“…Spontaneous expulsion of objects through the tracheo-bronchial route is one of the rare mechanisms of expulsion of foreign bodies like pins, needles, nose studs, etc. [1][2][3] Mediastinal lymph node, a common site of metastasis from carcinoma of the esophagus has never been reported to be extruded through the respiratory passage. We present a unique case of mediastinal node expulsion in a patient on follow up after surgery and postoperative radiotherapy in carcinoma of the esophagus.…”

“…Spontaneous expulsion of objects through the tracheo‐bronchial route is one of the rare mechanisms of expulsion of foreign bodies like pins, needles, nose studs, etc 1–3 . Mediastinal lymph node, a common site of metastasis from carcinoma of the esophagus has never been reported to be extruded through the respiratory passage.…”