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A persistent unilateral lung infiltrate

G Tits1, J Verschakelen, M Decramer

  • 1Respiratory Division, University Hospital, Leuven, Belgium.

The European Respiratory Journal
|November 1, 1994
PubMed
Summary
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A persistent lung infiltrate was caused by an aspirated chicken bone, initially mistaken for a tumor. Bronchoscopic removal of the foreign body resolved the infiltrate, highlighting the importance of considering aspirated objects in persistent lung issues.

Area of Science:

  • Pulmonology
  • Gastroenterology
  • Medical Case Reports

Background:

  • Aspirated foreign bodies can present as persistent lung infiltrates.
  • Distinguishing between neoplastic and foreign body etiology can be challenging.
  • Fibreoptic bronchoscopy is a key diagnostic and therapeutic tool in airway foreign body retrieval.

Observation:

  • A patient presented with a persistent right lower lobe infiltrate.
  • Initial fibreoptic bronchoscopy revealed a tumor-like mass in the right bronchus intermedius.
  • Biopsies and cytology were negative for malignancy.

Findings:

  • A subsequent bronchoscopy identified a chicken bone within friable granulation tissue.
  • The foreign body was successfully removed using a flexible bronchoscope and forceps under topical anesthesia.

Related Experiment Videos

  • Resolution of the lung infiltrate post-removal confirmed the diagnosis.

    • Implications:

    • This case underscores the importance of considering aspirated foreign bodies in the differential diagnosis of persistent lung infiltrates, even when initial investigations suggest malignancy.
    • Timely and accurate diagnosis through bronchoscopy is crucial for effective management.
    • Minimally invasive bronchoscopic removal can avoid more complex surgical interventions.