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[Presence of a foreign alive body in the left bronchus. A case report]
Víctor Manuel Carmona-Delgado1, Arturo Hinojosa-Pérez, Luis Castillo-López
1Servicio de Cirugia, Hospital General Regional 1 Vicente Guerrero, Instituto Mexicano del Seguro Social, Acapulco, Guerrero, Mexico. drvicsurgery1@yahoo.com.mx
Background:
approximately 60 % of the foreign bodies accidentally go to the digestive system, mainly to the esophagus, the others going to the airway.
Clinical Case:
a male patient, 18 years old, fisherman in who a fish was introduced into airways. A direct laryngoscopy was performed watching the foreign body. The patient presented severe respiratory failure symptoms. He was admitted to hospital where respiratory support with positive pressure ventilation was started. Forty-eight hours after hospital admission and the onset of the symptoms, he was found unconscious, with piping, subcutaneous emphysema in face, neck, and thorax; A bronchoscopy was performed. A foreign body in the left bronchus was observed and identified as a fish. This proceeded to be withdrawn from between the carina and we also observed material in decomposition, severe inflammatory process and great quantities of purulent secretions.
Conclusions:
it was a foreign living body (fish) that could withdrawn.
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