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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
[A rare cause of hemoptysis]
S Chouabe1, P E Schwartzbrod, J P Gamondes
1Service de Pneumologie, Hôpital Maison Blanche, CHU de Reims.
Revue De Pneumologie Clinique
|June 15, 1999
Summary
A rare bronchial foreign body, like a bone fragment, can cause significant lung bleeding (hemoptysis) and is often missed. Surgical removal is crucial for recovery from such chronic airway obstructions.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Radiology
Background:
- Bronchial foreign bodies are uncommon causes of hemoptysis, often presenting with delayed or atypical symptoms.
- Undiagnosed foreign bodies can lead to serious complications including infection, atelectasis, and bronchiectasis.
Observation:
- A 62-year-old woman presented with recurrent hemoptysis and radiographic evidence of interstitial lung disease in the right upper lobe.
- Surgical resection revealed an old bronchial foreign body, a piece of bone, as the cause of chronic intra-alveolar bleeding.
Findings:
- The case highlights that bronchial foreign bodies, even old ones, can manifest as hemoptysis and radiographic abnormalities.
- Histopathological distinctions between foreign bodies, broncholithiasis, and lung tumors can be challenging, complicating diagnosis.
Implications:
- Prompt diagnosis and extraction of bronchial foreign bodies, via endoscopy or surgery, are essential for patient recovery.
- This case underscores the importance of considering foreign body aspiration in the differential diagnosis of hemoptysis and lung abnormalities, even in adults.
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