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A plastic whistle incarcerated in bronchus diagnosed fourteen years after 'swallowed': a case report

Xin Wang1, Guowei Che1

  • 1Department of Thoracic Surgery, West-China Hospital, Sichuan University, Chengdu 610041, China.

Journal of Thoracic Disease
|July 1, 2014
PubMed

Insights

Tracheobronchial foreign body aspiration (FBA) is common in young children and can be missed. This case highlights a 14-year misdiagnosis of bronchial stenosis due to FBA, emphasizing the need for careful diagnosis and management.

Area of Science:

  • Pediatric Pulmonology
  • Medical Diagnostics

Background:

  • Tracheobronchial foreign body aspiration (FBA) is a frequent pediatric condition.
  • Delayed diagnosis of FBA can lead to significant complications, including bronchial stenosis.

Observation:

  • A case of a patient with atypical bronchial stenosis misdiagnosed for 14 years is presented.
  • The initial presentation mimicked other respiratory conditions, delaying definitive diagnosis.

Findings:

  • Bronchoscopy revealed a foreign body as the cause of the long-standing bronchial stenosis.
  • Successful retrieval of the foreign body was achieved through bronchoscopy after thorough preparation.

Implications:

  • This case underscores the importance of considering FBA in pediatric patients with persistent or atypical respiratory symptoms.
  • Improved diagnostic strategies and physician awareness are crucial for timely FBA diagnosis and management.
  • Recommendations for diagnosing and managing FBA are provided to prevent prolonged misdiagnosis.
Keywords:
Foreign body aspiration (FBA)bronchoscopystenosis

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