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Bilobectomy for Neglected Foreign Body Aspiration: A Case Report
Ayman F Yousef1, Reema A Almutairi1, Maha Z Alamri1
1Thoracic Surgery, King Saud Medical City, Riyadh, SAU.
Cureus
|January 15, 2025
Summary
A rare bilobectomy surgery successfully removed a 4-year-old aspirated foreign body (push pin) in a teen. This case highlights the importance of suspecting foreign body aspiration in recurrent chest infections.
Area of Science:
- Thoracic Surgery
- Pediatric Pulmonology
- Medical Case Reports
Background:
- Foreign body aspiration (FBA) can lead to recurrent respiratory infections, often misdiagnosed.
- Bilobectomy for foreign body extraction is an exceptionally rare surgical intervention.
Observation:
- A 16-year-old male presented with a four-year history of recurrent chest infections, initially treated as community-acquired pneumonia (CAP).
- Diagnostic evaluation revealed a history of foreign body aspiration involving a push pin four years prior.
Findings:
- The aspirated foreign body was successfully removed through a right thoracotomy and subsequent bilobectomy of the middle and lower lobes.
- The patient experienced an uneventful recovery following the surgical intervention.
Implications:
- This case underscores the critical need for high clinical suspicion and prompt intervention in suspected foreign body aspiration.
- Foreign body aspiration is a potentially life-threatening condition requiring thorough investigation, even with a delayed diagnosis.

