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41 years into the bronchial tree: a very obstructive cap.

Aude Pellissier1, Samira Kebdani2, Mohamed Lacheheb2

  • 1Service de Pneumologie et d'Oncologie Thoracique, Hôpital Nord CHU de Saint Etienne, France.

The Clinical Respiratory Journal
|January 15, 2016
PubMed
Summary

A rare case of a pen cap inhaled 41 years prior was discovered in a 58-year-old man. Successful removal eliminated the need for surgical resection of bronchiectasis.

Keywords:
bronchiectasisforeign bodyinhalationrigid bronchoscopy

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Area of Science:

  • Pulmonology
  • Medical Case Reports

Background:

  • Delayed diagnosis of inhaled foreign bodies is uncommon.
  • Foreign body aspiration typically occurs in younger individuals.

Observation:

  • A 58-year-old man presented with bronchiectasis.
  • A pen cap, aspirated 41 years prior, was incidentally found during pre-operative evaluation.

Findings:

  • Successful removal of the chronic inhaled foreign body (pen cap).
  • The foreign body was lodged in the bronchial tree, causing secondary bronchiectasis.

Implications:

  • Complete resolution of the condition without surgical intervention.
  • Highlights the possibility of late-diagnosed foreign body aspiration and its impact on respiratory health.