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Delayed presentation following accidental inhalation of a pushpin
1Mater Hospital, Accident and Emergency Deartment, Belfast BT14 6AB, UK. bellpr@hotmail.co.uk
A woman with appendicitis-like symptoms was diagnosed with a year-old inhaled pushpin. Early recognition of foreign body aspiration signs is crucial to prevent delayed diagnosis and complications.
Area of Science:
- Medicine
- Pulmonology
- Radiology
Background:
- Foreign body aspiration can present with vague symptoms mimicking common illnesses.
- Delayed diagnosis of aspirated foreign bodies leads to significant morbidity.
Observation:
- An 18-year-old woman presented with symptoms suggestive of appendicitis.
- Radiography revealed right lower lobe consolidation and a metallic foreign body.
Findings:
- The foreign body was identified as a pushpin inhaled approximately one year prior.
- The patient's symptoms were attributed to chronic foreign body aspiration.
Implications:
- Emphasizes the importance of considering foreign body aspiration in differential diagnoses.
- Highlights the need for a low threshold for imaging and bronchoscopy in suspected cases.
- Underscores the potential for delayed diagnosis and severe outcomes in foreign body aspiration.
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