Delayed Presentation of Aspirated Foreign Body with Peculiar Symptoms
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 7
Abstract
Aspiration of foreign body is a common problem in children but rarely seen in adults also. They present to the hospital as emergency and on most occasions are removed bronchoscopically. Some late presentation of aspirated foreign bodies are reported in literature. They usually present with recurrent chest pain and chronic cough which can mislead the treating physician. Our patient presented to us 4 years after inhalation of metallic screw that failed bronchoscopic attempt to remove it. He ignored it due to lack of symptoms initially. He presented with worsening symptoms of pain in the chest whenever he coughed and laughed as if something was hitting from inside. Chest X-ray and fluoroscopy revealed the foreign body had migrated to the right postero basal segment requiring a right posterolateral thorocotomy to remove it. The screw was removed with a wedge of lung that contained it. In conclusion, late presentation of inhaled foreign bodies are rarely seen and they mostly require thorocotomy for their retrieval due their remote location.
Authors and Affiliations
Ashley Solomon C
Keywords
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