Role of virtual and flexible bronchoscopy in the management of a case of unnoticed foreign body aspiration presented as nonresolving pneumonia in an adult female
| Autor: | Ravish M Kshatriya, Nimit V Khara, Rajiv Paliwal, Sateesh Patel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
Thorax 0209 industrial biotechnology medicine.medical_specialty virtual bronchoscopy Case Report 02 engineering and technology 030204 cardiovascular system & hematology nonresolving pneumonia 03 medical and health sciences foreign body aspiration 020901 industrial engineering & automation 0302 clinical medicine Bronchoscopy medicine Flexible bronchoscopy lcsh:RC705-779 medicine.diagnostic_test business.industry Gold standard lcsh:Diseases of the respiratory system medicine.disease Surgery Pneumonia Foreign body aspiration Radiology Foreign body business Airway |
| Zdroj: | Lung India : Official Organ of Indian Chest Society Lung India, Vol 33, Iss 4, Pp 420-423 (2016) |
| ISSN: | 0974-598X 0970-2113 |
| Popis: | It is not so common to aspirate foreign body in normal adults without any predisposing factors as compared to children and those with the altered neurological state. Endobronchial foreign bodies are one of the causes of obstructive pneumonia and difficult to diagnose as signs and symptoms are often nonspecific. However, once they are diagnosed, they can generally be removed, leading to rapid and drastic resolution of symptoms. Bronchoscopy is the gold standard in the identification and localization of an airway foreign body and also for better management of the ailment. However with the help of virtual bronchoscopy one can decide the location of the foreign body before any invasive intervention and being noninvasive it can be performed in follow-up easily to check the patency of airways. It is not possible to detect the exact size of foreign body with the virtual bronchoscopy. In this article, we report a case of unnoticed foreign body aspiration in a 49-year-old female patient who was initially treated for pneumonia. However, due to nonresolution of opacity contrast enhanced computed tomography thorax with virtual and flexible bronchoscopy were performed, which revealed a foreign body in the right lower lobe bronchus that was removed with biopsy forceps in piecemeal. In her follow-up visit, she underwent virtual broncoscopy that revealed clear airways. Thus, detailed history and high index of suspicion is required for nonresolving pneumonias that may occur due to unnoticed foreign body/ies in an adult. |
| Databáze: | OpenAIRE |
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