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Longstanding endobronchial foreign body.

R Trisolini1, R Dore, R Bertolini

  • 1Clinica di Malattie dell'Apparato Respiratorio Università degli Studi di Pavia IRCCS Policlinico S. Matteo via Taramelli 5 Pavia 27100 Italy.

Diagnostic and Therapeutic Endoscopy
|May 22, 2008
PubMed
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Delayed diagnosis of endobronchial foreign bodies (FB) can lead to severe complications. This case highlights a rare instance of an undiagnosed FB for nearly three years, emphasizing diagnostic challenges.

Area of Science:

  • Pulmonology
  • Medical Diagnostics
  • Case Reports

Background:

  • Endobronchial foreign body (FB) inhalation is a condition where inhaled objects lodge in the airways.
  • Diagnosis is typically aided by the onset of symptoms within weeks to months.
  • Missed diagnoses can result in delayed treatment and potential complications.

Purpose of the Study:

  • To report a unique case of a significantly delayed endobronchial foreign body diagnosis.
  • To discuss the diagnostic challenges and therapeutic considerations in such rare cases.
  • To underscore the importance of considering foreign body inhalation even with atypical presentations.

Main Methods:

  • Case report of a patient with a history of endobronchial foreign body.
  • Review of clinical presentation, diagnostic process, and management.

Related Experiment Videos

  • Discussion of literature regarding delayed diagnosis of endobronchial foreign bodies.

    • Main Results:

    • An endobronchial foreign body remained undiagnosed for almost three years due to a lack of typical symptoms.
    • The delayed diagnosis eventually led to significant bronchopulmonary complications.
    • Successful identification and removal of the foreign body were achieved.

    Conclusions:

    • Late diagnosis of endobronchial foreign bodies, though uncommon, can occur and lead to severe sequelae.
    • Diagnostic vigilance is crucial, even in the absence of classic symptoms.
    • Prompt identification and removal are essential to prevent long-term complications.