An unusual tracheal foreign body in a middle-aged male with a 15-year history of coal use: a case report
| Autor: | Min Yan, Li-juan Zhong, Shou-hong Xiang, Dai-quan Zhou, Yi Wang, Jian-ming Tang |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Medical technology Case Report 03 medical and health sciences 0302 clinical medicine Bronchoscopy Humans Medicine Radiology Nuclear Medicine and imaging Computed tomography Energy spectrum imaging COPD medicine.diagnostic_test Inhalation business.industry Respiratory disease Coal dust inhalation Dust Nodule (medicine) Middle Aged respiratory system Foreign Bodies medicine.disease respiratory tract diseases Trachea Chronic cough Coal Dyspnea 030228 respiratory system lcsh:R855-855.5 Tracheal foreign body Radiography Thoracic Radiology medicine.symptom Foreign body Tomography X-Ray Computed Tracheal Stenosis Airway business Chest radiograph 030217 neurology & neurosurgery |
| Zdroj: | BMC Medical Imaging BMC Medical Imaging, Vol 21, Iss 1, Pp 1-6 (2021) |
| ISSN: | 1471-2342 |
| Popis: | Background Long-term exposure to coal dust causes respiratory disease. In chest computer tomography (CT), pulmonary nodules, pulmonary interstitial fibrosis and emphysema manifest themselves. However, tracheal foreign bodies caused by coal dust are rarely reported. In this study, we report a special case of a tracheal coal foreign body, in which the patient has neither a history of coal work nor foreign body inhalation. Case presentation A 49-year-old man was diagnosed with chronic obstructive pulmonary disease (COPD) due to chronic cough and exertional dyspnoea. His symptoms gradually worsened despite treatment for COPD. Chest radiograph and CT images showed an irregular high-density nodule inserting fromthe trachea into the right thyroid at approximately the level of the 7th cervical vertebra. Fiberoptic bronchoscopy revealed that the tracheal lumen was mostly blocked. After the surgery, the energy spectrum CT quantitative analysis showed that the foreign body was likely that of a bituminous coal specimen. Conclusions For cases in which a foreign body in the airway is highly suspected, early fiberoptic bronchoscopy and radiographic examinations should be performed as soon as possible to avoid misdiagnosis and ensure timely treatment. |
| Databáze: | OpenAIRE |
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