[Diagnostic image (278). A confused man with a cough]

Area of Science:

• Medical Case Report
• Pulmonology
• Neurosurgery

Background:

• Subdural hematoma can present with neurological symptoms like confusion.
• Airway foreign bodies can lead to respiratory distress and complications.

Observation:

• A 69-year-old male presented with confusion and a subdural hematoma.
• Chest X-ray revealed a radiopaque lesion, indicative of a potential foreign body or pathology.
• Symptoms included a persistent cough.

Findings:

• Bronchoscopy identified a push pin as the foreign body in the airway.
• The push pin was successfully retrieved using a rigid bronchoscope.

Implications:

• This case highlights the importance of considering unusual foreign bodies in the differential diagnosis of respiratory and neurological symptoms.
• Timely diagnosis and intervention, such as bronchoscopy, are crucial for managing airway foreign bodies and preventing severe complications.