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The Bovine Lung in Biomedical Research: Visually Guided Bronchoscopy, Intrabronchial Inoculation and In Vivo Sampling Techniques
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A tree grows in bronchus.

Konrad Leslie Davis1, Colleen L Channick

  • 1*Departments of Pulmonary and Critical Care Medicine, Naval Medical Center San Diego †Department of Pulmonary and Critical Care Medicine, University of California, San Diego, CA.

Journal of Bronchology & Interventional Pulmonology
|November 22, 2012
PubMed
Summary
This summary is machine-generated.

A rare case of a wooden tracheobronchial foreign body (TFB) was found after an impaling injury over 30 years prior. This highlights the importance of detailed patient history in diagnosing delayed TFB complications.

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Area of Science:

  • Medical Case Reports
  • Pulmonology
  • Emergency Medicine

Background:

  • Tracheobronchial foreign bodies (TFBs) are common in children, usually due to aspiration.
  • Traumatic TFBs are rare, with reported cases typically involving projectile injuries.
  • Delayed presentation of TFBs can lead to recurrent respiratory issues like pneumonia.

Purpose of the Study:

  • To report a unique case of a traumatic TFB resulting from a delayed presentation.
  • To emphasize the significance of thorough patient history in diagnosing unusual TFB etiologies.
  • To highlight an impaling injury as a novel cause of traumatic TFB.

Main Methods:

  • A patient presented with recurrent pneumonia.
  • Flexible bronchoscopy identified a TFB obstructing the right bronchus intermedius.
  • Surgical removal of the TFB was performed.

Main Results:

  • The TFB was identified as wood.
  • The patient's history revealed an impaling injury from a tree sucker over 30 years prior.
  • This represents the first reported case of an impaling injury causing a traumatic TFB.

Conclusions:

  • Long-standing impaling injuries can result in delayed tracheobronchial foreign body formation.
  • Detailed patient history is crucial for diagnosing rare and delayed presentations of TFBs.
  • This case expands the known mechanisms of traumatic TFB formation.