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Updated: Feb 24, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Cavidad Pulmonar Crónica que Oculta una Aspiración de Cuerpo Extraño Insospechada en un Niño
Jie Chen1, Jiying Xiao1, Junsong Chen1
1Department of Respiratory Medicine, Hangzhou Maternity and Child Health Hospital Children's Campus, Hangzhou, Zhejiang, China.
Background:
Delayed foreign body aspiration (FBA) mimicking a lung abscess is rare in children.
Case Presentation:
A 3-year-old girl presented with fever, cough, and a cavitary lung lesion initially diagnosed as lung abscess. Poor response to antibiotics prompted bronchoscopy, which revealed a pumpkin seed shell fragment causing obstruction and granulation. History revealed a choking episode eight months prior.
Results:
The foreign body was removed bronchoscopically, and the patient recovered fully.
Conclusions:
Occult FBA should be considered in children with focal cavitary lung lesions, especially when unresponsive to antibiotics for lung abscess.
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