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J Nepal Health Res Counc · Jan 2019
Case ReportsFlexible Bronchoscopic Removal of a Forgotten Intrabronchial Foreign Body.
- Ashesh Dhungana and Ajit Thapa.
- National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
- J Nepal Health Res Counc. 2019 Jan 28; 16 (41): 470-472.
AbstractForeign body aspiration is uncommon in adults and the diagnosis may be delayed in the elderly, as many fail to provide a history of choking during initial evaluation. Flexible bronchoscopy is a useful tool for foreign body extraction from the tracheobronchial tree in selected cases. A Sixty-two year old male presented with history of cough, purulent sputum and intermittent hemoptysis. CT scan of the thorax demonstrated a radio-dense foreign body in the bronchus intermedius causing focal narrowing. Flexible fiberoptic bronchoscopy revealed a glistening white bone in the distal bronchus intermedius which was successfully grasped with the flexible forceps and extracted via the oral route with the bronchoscope. Keywords: Elderly; flexible bronchoscopy; foreign body aspiration.
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