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Endobronchial suture. A foreign body causing chronic cough.

D Shure1

  • 1Department of Medicine, University of California, San Diego.

Chest
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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Endobronchial sutures, rarely considered, can cause chronic cough years after thoracic surgery. Prompt diagnosis and removal via bronchoscopy resolve symptoms and granulation tissue.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Gastroenterology

Background:

  • Endobronchial sutures are an uncommon cause of lower airway foreign bodies.
  • Delayed presentation of symptoms can lead to misdiagnosis.

Observation:

  • Eight endobronchial sutures were identified in six patients with a history of thoracic surgery.
  • Symptoms, including chronic cough and hemoptysis, appeared 2-25 years post-surgery.

Findings:

  • Bronchoscopy confirmed suture presence in all cases.
  • Suture removal using forceps or endoscopic scissors led to symptom resolution within days.
  • Granulation tissue resolved within 2-4 weeks post-removal.

Implications:

  • Consider endobronchial sutures in patients with prior thoracic surgery presenting with chronic cough.

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  • Early diagnosis and removal are crucial for symptom resolution and preventing complications.