Unusual case of nail in lung
DOI:
https://doi.org/10.18203/2349-3933.ijam20175198Keywords:
Bronchoscopy, Foreign body, Right lungAbstract
Tracheobronchial foreign body aspiration is a health problem that can be seen in all age groups, and it requires urgent diagnosis and intervention. We report an unusual case of nail in lung. 45 years old male was referred to us with history of aspiration of nail 2 Days back and cough. X-ray Chest PA view showed radio-opaque foreign body in right lung-lower zone. Patient had undergone bronchoscopy 2 days ago with report stating, “Normal study; No foreign body Seen” Counselling of the patient and relatives was done. Informed consent was taken. Under general anaesthesia with intubation, fluoroscopy guided video bronchoscopy was performed with external diameter 5.6mm and working channel 2mm. Foreign body was localized and removed It’s an innovative technique with multi-disciplinary approach. Counselling of the patient and relatives is important.
References
Figueiredo RR, Machado WS. Foreign body aspiration through tracheotomy: a case report. Rev. Bras. Otorrinolaringol. 2005;71(2):234-6.
Qureshi A, Behzadi A. Foreign-body aspiration in an adult. Canad J Surg. 2008;51(3):E69-70.
Swanson KL, Edell ES, Tracheobronchial foreign bodies, Chest Surg Clin N Am. 2001;11(4):861-72.
Boyd M, Chatterjee A, Chiles C, Chin R, Tracheobronchial foreign body aspiration in adults, South Med J. 2009;102(2):171-4.
Blanco Ramos M, Botana-Rial M, García-Fontán E, Fernández-Villar A, Gallas Torreira M, Update in the extraction of airway foreign bodies in adults, J Thorac Dis. 2016;8(11):3452-6.
Moura e Sá J, Oliveira A, Caiado A. Tracheobronchial foreign bodies in adults — experience of the Bronchology Unit of Centro Hospitalar de Vila Nova de Gaia. Rev Port Pneumol. 2006;12:31-43.
Hasdiraz L, Bicer C, Bilgin M. Turban pin aspiration: non-asphyxiating tracheobronchial foreign body in young Islamic women. Thorac Cardiovasc Surg. 2006;54:273-5.
Ramos MB, Fernández-Villar A, Rivo JE, Leiro V, García-Fontán E, Botana MI, et al. Extraction of airway foreign bodies in adults: experience from 1987-2008, Interact Cardiovasc Thorac Surg. 2009;9(3):402-5.
Loh TL, Chin R, Flynn P, Jayachandra S. Fracture and aspiration of a tracheostomy tube, BMJ Case Rep. 2014;2014:bcr2013203232.
Malhotra B, Kallan BM. An unusual foreign body in tracheobronchial tree: removed by fiberoptic bronchoscope, Ind J Chest Dis Allied Sci. 1993;35(2):85-8.
Blanco Aparicio M, Verea H, Martínez Lago V. Hemoptysis caused by endobronchial foreign body, Arch Bronconeumol. 1995;31(2):93-4.
