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Aspiración Oculta de Semilla de Chico: Errores Diagnósticos y Desafíos de Recuperación

Quynh-Lam Nguyen-Phan^1,2, 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

Resumen

La aspiración de cuerpo extraño bronquial (CEB) en adultos a menudo se pasa por alto, imitando el asma. Un caso de semilla de chico causó síntomas prolongados, lo que resalta la necesidad de TC y broncoscopia tempranas para el diagnóstico y tratamiento.

Área de la Ciencia:

Neumología
Diagnóstico por Imagen
Broncoscopia Intervencionista

Sus antecedentes:

La aspiración de cuerpo extraño bronquial (CEB) en adultos es rara y a menudo se diagnostica erróneamente.
Puede imitar afecciones como el asma o la tuberculosis, especialmente en áreas endémicas.
El diagnóstico tardío de CEB puede provocar una morbilidad significativa.

Objetivo del estudio:

Informar un caso de CEB en adultos omitido.
Enfatizar los desafíos diagnósticos y la importancia de la obtención temprana de imágenes.
Destacar la broncoscopia como tratamiento definitivo.

Principales métodos:

Informe de caso de una mujer de 55 años con sibilancias refractarias.
El estudio diagnóstico incluyó tomografía computarizada (TC) de tórax.
Intervención terapéutica mediante broncoscopia flexible.

Principales resultados:

Se identificó una semilla de chico como cuerpo extraño.
Resolución inmediata de los síntomas y recuperación radiológica post-broncoscopia.
La eliminación exitosa previno complicaciones pulmonares adicionales.

Conclusiones:

La CEB en adultos requiere una alta sospecha clínica, especialmente con síntomas respiratorios atípicos.
La TC de tórax es crucial para identificar la obstrucción endobronquial.
La broncoscopia rápida es esencial para el diagnóstico y tratamiento, evitando la morbilidad prolongada.

Palabras clave:

asma broncoscopia aspiración de cuerpo extraño sibilancias

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