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Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature
BACKGROUND: Foreign body ingestion is a common emergence in gastroenterology. Foreign bodies are most likely to be embedded in the esophagus. The sharp ones may penetrate the esophageal wall and lead to serious complications. CASE PRESENTATION: A 72-year-old Chinese female was admitted to our hospit...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968162/ https://www.ncbi.nlm.nih.gov/pubmed/33731031 http://dx.doi.org/10.1186/s12890-021-01458-x |
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author | Qiu, Yuanhua Xu, Shan Wang, Yafang Chen, Enguo |
author_facet | Qiu, Yuanhua Xu, Shan Wang, Yafang Chen, Enguo |
author_sort | Qiu, Yuanhua |
collection | PubMed |
description | BACKGROUND: Foreign body ingestion is a common emergence in gastroenterology. Foreign bodies are most likely to be embedded in the esophagus. The sharp ones may penetrate the esophageal wall and lead to serious complications. CASE PRESENTATION: A 72-year-old Chinese female was admitted to our hospital with a 4-day history of retrosternal pain and a growing cough after eating fish. Chest computed tomography scan indicated that a high-density foreign body (a fish bone) penetrated through the esophageal wall and inserted into the left main bronchus. First, we used a rigid esophagoscope to explore the esophagus under general anesthesia. However, the foreign body was invisible in the side of the esophagus. Then, the fiberoptic bronchoscopy was performed. We divided the fish bone, which traversed the left main bronchus, into two segments under holmium laser and removed the foreign body successfully. The operation time was short and there were no complications. The patient was discharged 1 week postoperatively and was symptom free even under a liquid diet. CONCLUSIONS: There are several challenges in the management of this rare condition. We applied the technique of interventional bronchoscopy to the management of esophageal foreign body flexibly in an emergency. A surgery was avoided, which was more invasive and costly. |
format | Online Article Text |
id | pubmed-7968162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79681622021-03-22 Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature Qiu, Yuanhua Xu, Shan Wang, Yafang Chen, Enguo BMC Pulm Med Case Report BACKGROUND: Foreign body ingestion is a common emergence in gastroenterology. Foreign bodies are most likely to be embedded in the esophagus. The sharp ones may penetrate the esophageal wall and lead to serious complications. CASE PRESENTATION: A 72-year-old Chinese female was admitted to our hospital with a 4-day history of retrosternal pain and a growing cough after eating fish. Chest computed tomography scan indicated that a high-density foreign body (a fish bone) penetrated through the esophageal wall and inserted into the left main bronchus. First, we used a rigid esophagoscope to explore the esophagus under general anesthesia. However, the foreign body was invisible in the side of the esophagus. Then, the fiberoptic bronchoscopy was performed. We divided the fish bone, which traversed the left main bronchus, into two segments under holmium laser and removed the foreign body successfully. The operation time was short and there were no complications. The patient was discharged 1 week postoperatively and was symptom free even under a liquid diet. CONCLUSIONS: There are several challenges in the management of this rare condition. We applied the technique of interventional bronchoscopy to the management of esophageal foreign body flexibly in an emergency. A surgery was avoided, which was more invasive and costly. BioMed Central 2021-03-17 /pmc/articles/PMC7968162/ /pubmed/33731031 http://dx.doi.org/10.1186/s12890-021-01458-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Qiu, Yuanhua Xu, Shan Wang, Yafang Chen, Enguo Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title | Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title_full | Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title_fullStr | Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title_full_unstemmed | Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title_short | Migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
title_sort | migration of ingested sharp foreign body into the bronchus: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968162/ https://www.ncbi.nlm.nih.gov/pubmed/33731031 http://dx.doi.org/10.1186/s12890-021-01458-x |
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