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Occult Sapodilla Seed Aspiration: Diagnostic Pitfalls and Retrieval Challenges
Quynh-Lam Nguyen-Phan1,2, Bao Linh Nguyen1, Anh Duy Ho1
1Department of Tuberculosis and Lung Diseases, School of Medicine University of Medicine and Pharmacy at Ho Chi Minh City Ho Chi Minh City Vietnam.
Respirology Case Reports
|February 2, 2026
Summary
Adult bronchial foreign body aspiration (BFBA) is often missed, mimicking asthma. A case of a sapodilla seed caused prolonged symptoms, highlighting the need for early CT scans and bronchoscopy for diagnosis and treatment.
Area of Science:
- Pulmonology
- Diagnostic Imaging
- Interventional Bronchoscopy
Background:
- Bronchial foreign body aspiration (BFBA) in adults is rare and often misdiagnosed.
- It can mimic conditions like asthma or tuberculosis, especially in endemic areas.
- Delayed diagnosis of BFBA can lead to significant morbidity.
Purpose of the Study:
- To report a case of a missed adult BFBA.
- To emphasize the diagnostic challenges and importance of early imaging.
- To highlight bronchoscopy as a definitive treatment.
Main Methods:
- Case report of a 55-year-old woman with refractory wheezing.
- Diagnostic workup included chest computed tomography (CT).
- Therapeutic intervention via flexible bronchoscopy.
Main Results:
- A sapodilla seed was identified as the foreign body.
- Immediate symptom resolution and radiological recovery post-bronchoscopy.
- Successful removal prevented further pulmonary complications.
Conclusions:
- Adult BFBA requires high clinical suspicion, especially with atypical respiratory symptoms.
- Chest CT is crucial for identifying endobronchial obstruction.
- Prompt bronchoscopy is essential for diagnosis and treatment, avoiding prolonged morbidity.
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