Unusual longstanding intrabronchial foreign body masquerading as intractable bronchial asthma in an adult: Case report and literature review
| Autor: | Zephania Saitabau Abraham, Aveline Aloyce Kahinga, Faustine Bukanu, Olivia Michael Kimario |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Inhalation Adult patients medicine.diagnostic_test business.industry Intrabronchial Adult case Case Report medicine.disease Surgery Foreign Body Removal respiratory tract diseases Chronic cough Foreign body Bronchoscopy medicine medicine.symptom business Longstanding Bronchial asthma Asthma |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | 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. Highlights • FB inhalation is a very common encounter in clinical practice among pediatric patients and rarely seen among adults. • Inhaled FBs in adults tends to lodge within the right bronchial tree and in the central airways in children. • Adult patients with chronic cough should be handled with caution to rule out inhaled FBs. • Co-existing bronchial asthma may mask the diagnosis of FB inhalation in unclear history of its inhalation. • Bronchoscopy remains to be the main stay in management of inhaled FBs. |
| Databáze: | OpenAIRE |
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