Lung Abscess Secondary to Esophageal Foreign Body

1978 ◽  
Vol 87 (4) ◽  
pp. 568-570 ◽  
Author(s):  
B. C. Okafor
Keyword(s):  
Foreign Body ◽  
Main Bronchus ◽  
External Pressure ◽  
Lung Abscess ◽  
Esophageal Foreign Body ◽  
Esophageal Lumen ◽  
Long Period ◽  
The Right

The case reported here is one in which a foreign body in the esophagus resulted in a right lung abscess. Interest here centers on the unusual nature of the foreign body and the extraordinarily long period it was allowed to remain in the esophageal lumen even though it was producing symptoms throughout this period. The various factors involved are discussed, also the somewhat peculiar fact that the lung abscess was on the right, resulting from external pressure on the right main bronchus.

scholarly journals Esophageal foreign body removal using endoscopy in cat

2020 ◽  
Vol 4 (2) ◽  
pp. 21-22
Author(s):  
Sitaria Fransiska Siallagan ◽  
Herawati Napitu ◽  
Arni Diana Fitri ◽  
Nindya Dwi Utami ◽  
Soenarti D. Waspada ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Foreign Body ◽  
Physical Examination ◽  
General Anesthesia ◽  
Clinical Symptom ◽  
Esophageal Wall ◽  
Esophageal Foreign Body ◽  
Foreign Body Removal ◽  
Esophageal Lumen ◽  
Sewing Thread

A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.

scholarly journals Broken metallic tracheostomy tube migrating into the tracheobronchial tree

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan
Keyword(s):  
Foreign Body ◽  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Life Saving ◽  
Wear And Tear ◽  
Life Threatening ◽  
History Of ◽  
The Right ◽  
Periodic Replacement

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

scholarly journals Tracheobronchial foreign body aspiration: A 13-year retrospective analysis

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 69-74
Author(s):  
Danijela Dragicevic ◽  
Ljiljana Jovancevic ◽  
Rajko Jovic ◽  
Ljiljana Vlaski ◽  
Bojan Bozic
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Age Groups ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Radiological Findings ◽  
Tracheobronchial Foreign Body ◽  
The Moment ◽  
The Right

Introduction. Foreign body aspiration into the respiratory tract remains a diagnostic and therapeutic challenge in clinical practice, especially in young children, who are the most frequently affected age group. The aim of this study was to present the results of treating the patients with foreign body aspiration in all age groups. Material and Methods. The medical and radiological records of 64 patients with confirmed foreign body out of 146 patients with suspected foreign body aspiration were retrospectively analyzed during the period of 13 years (from 2001 to 2013). Results. A foreign body was found in 64 (44%) of the 146 patients of all age groups with suspected foreign body aspiration. The patients? age ranged between 11 months and 80 years. There were 84% children and 16% adults, and 63% of patients were male. Time between the moment of aspiration and admission to the Department ranged between 0.5 hours and 14 days, with majority of patients (70%) being admitted during the first 24 hour. History of respiratory drama was present in 92% of patients. Physical and radiological findings were positive in 66% and 47% of patients, rescpectively. Organic vegetable foreign bodies accounted for 75% of all cases, and they were most frequently found in the right main bronchus (63%). All foreign bodies were successfully extracted by rigid bronchoscopy, without serious complications and fatal outcomes. Conclusion. Bronchoscopy should be performed in any case of suspected foreign body aspiration, even if clinical and radiological findings are normal, in order to avoid serious and possible life-threatening complications. More should be done to raise awareness of this potentially preventable condition.

scholarly journals Frequency of Foreign Body Bronchus in Patients with Pneumothorax

2021 ◽  
Vol 15 (7) ◽  
pp. 1798-1800
Author(s):  
Najam-ud- Din ◽  
Basher Ahmed ◽  
Abdul Manan Khan
Keyword(s):  
Body Mass Index ◽  
Foreign Body ◽  
Body Mass ◽  
Main Bronchus ◽  
Major Complication ◽  
Foreign Body Aspiration ◽  
Time Interval ◽  
Cross Sectional ◽  
Foreign Body Bronchus ◽  
The Right

Aim: To determine the frequency of airways foreign body bronchus in children pneumothorax. Study Design: Cross-sectional/descriptive study Place and Duration of Study: Department of Thoracic Surgery, Sandeman Provincial Hospital Quetta from 1st January 2020 to 31st December 2020. Methodology: Forty five patients of both genders and aged between 1 to 15 years were enrolled. Patients details demographics age, gender, residence and body mass index were recorded after taking informed consent. Chest computed tomography and X-ray to bronchus were performed to examine the nature and site of foreign body. Bronchoscopy was performed and outcomes were analyzed. Results: There were 30 (66.67%) males and 15 (33.33%) females. Majority of patients 27 (60%) were ages <6 years. Mean body mass index was 12.08±6.33 kg/m2. Mean time interval between foreign body aspiration and admitted to hospital was 4.08±2.08days. Foreign body bronchus was found in 14 (31.11%) patients. The right main bronchus was the most common site in 9 (64.28%) followed by left bronchus in 5(35.71%).Most common foreign body retrieved was seeds found in 9 (64.28%), piece of plastic in 3 (21.43%), peanut in 1 (7.14%) and nuts in 1 (7.14%) patients respectively. Bronchoscopy performed in 14 patients and none of patients had developed any complication. Conclusion: Foreign body bronchus was found in 31.11% patients presented with pneumothorax and most common foreign body aspiration was seeds. Bronchoscopy was safe and effective with no major complication. Keywords: Children, Foreign body aspiration, Bronchus, Pneumonia

Detection of extrinsic bronchial compression during foreign body removal by pulse oximetry

1990 ◽  
Vol 104 (1) ◽  
pp. 50-51
Author(s):  
M. S. C. Morrissey ◽  
P. J. H. Venn ◽  
H. Y. Chan ◽  
H. Whittet
Keyword(s):  
Foreign Body ◽  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Main Bronchus ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Partial Removal ◽  
Foreign Body Removal ◽  
The Right ◽  
Bronchial Compression

AbstractA case of stridor is described which was due to the presence of a foreign body in the larynx of an infant. Following partial removal, compression of the right main bronchus was detected because of continuing low arterial oxygen saturation. The use of pulse oximetry allowed this complication to be identified, and the advantages of this method of monitoring are discussed.

scholarly journals Wheezy adult with chicken bone in the chest

2018 ◽  
Vol 7 (1) ◽  
pp. 310
Author(s):  
Bhavana Venkata Nagabhushna Rao ◽  
Narmada Vatti ◽  
Balaraju Tadikonda ◽  
Srinivasa Perraju Ponnapalli
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Three Dimensional ◽  
Upper Airway ◽  
Airway Disease ◽  
Virtual Bronchoscopy ◽  
Chicken Bone ◽  
Chronic Airway Disease ◽  
The Right

A large foreign body aspiration in a healthy adult is rare in the literature. It is a frequent problem in children and adolescents. Adults are affected in altered sensorium, either due to sedation or neurological problems. Acute upper airway obstruction though rare in adults requires establishment of an airway using Laryngoscope or rigid bronchoscope. At times we have to recourse to tracheostomy to save the life. Foreign body often travels down the right sided airways, here we present a case of 30mm Chicken bone being lodged in the left main bronchus. The patient presented with unremitting cough and normal chest skiagram. Monophonic wheeze on auscultation and focused attention on the patient narration made us clinch the diagnosis. New onset wheezy chest or unremitting chronic airway disease on adequate therapy, with history of choking needs special attention. The CT scan is a better modality of the investigation. Three dimensional CT with multi-slice virtual bronchoscopy is advantageous. We discussed foreign body aspirations in adults, the various causes and presentations. Fiber optic bronchoscopy is the ideal method for visualization and extraction of non-life-threatening foreign bodies in adults. Once a foreign body is identified, it has to be removed as early as possible. Retained foreign bodies can precipitate many complications related to infection and inflammation. At rare incidence we may have to resort to thoracotomy to remove a complicated foreign body.

scholarly journals Missed diagnosis of an unusual case of impacted esophageal foreign body

2015 ◽  
Vol 6 (04) ◽  
pp. 172-175
Author(s):  
Abu Taiub Mohammed Mohiuddin Chowdhury ◽  
Jiang Wei ◽  
Sedzro Divine Mensah ◽  
Shahid Alam
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Food Particle ◽  
Esophageal Foreign Body ◽  
Food Object ◽  
Complete Obstruction ◽  
Partial Obstruction ◽  
Esophageal Lumen ◽  
Missed Diagnosis

AbstractAccidental foreign body or food particle impaction in the esophagus causing partial or complete obstruction of the esophageal lumen is not uncommon. Most of this presents with remarkable history and acute or related symptoms that lead to diagnosis. Here, we present an unusual clinically misleading case of impacted food object in the esophageal lumen causing partial obstruction that mimic the diagnosis of esophageal and other associated pathologies.

scholarly journals Do Times until Treatment for Foreign Body Aspiration Relate to Complications?

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Walailak Tatsanakanjanakorn ◽  
Surapol Suetrong
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Delayed Diagnosis ◽  
Foreign Body Aspiration ◽  
University Hospital ◽  
Age Group ◽  
Common Site ◽  
Plant Seeds ◽  
The Right

Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration.Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus. Descriptive statistics were used to analyze the association of times of treatment with complications of foreign body aspiration.Results. During the study period, there were 43 patients that met the study criteria. The most common age group was 0–2 years. Plant seeds were the most common foreign bodies (41.9%), and the right main bronchus was the most common site (16 patients, 37.2%). There were 30 patients (69.8%) that experienced complications from foreign body aspiration. Pneumonia was the most common complication (14 patients, 32.6%). The retention time was not significantly associated with the presence of complications (pvalue: 0.366). Two patients (4.7%) died due to complete airway obstruction and prolonged hypoxia.Conclusion. Times until treatment were not significantly associated with complications from foreign body aspiration.

scholarly journals Foreign bodies of the lower respiratory tract

2009 ◽  
Vol 56 (3) ◽  
pp. 127-130 ◽  
Author(s):  
A.B. Ugrinovic ◽  
V.B. Djukic ◽  
Lj.V. Erdevicki ◽  
S.D. Arsenijevic ◽  
J.P. Milovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Modern Society ◽  
The United States ◽  
Sunflower Seeds ◽  
Left Main ◽  
The Right

Aspiration of foreign bodies of the lower respiratory tract is the most common cause of accidental death in children under 6 years of age in the United States. The aim of the study was to actualize the problem of foreign bodies in modern society, to determine the most common types of foreign body, who and why usually aspires foreign body, whether the incidence is changing, and to define principles for optimal prevention. During our five-year study, we had 166 cases of aspiration of foreign bodies of the lower respiratory tract. The incidence is highest in children under three years of age (54.8%). Cough (94.6%) and breathing difficulties (78.9%) were the dominated symptoms. The majority of aspirated objects were grain (peanuts, walnuts, sunflower seeds) - 29.5%. Localization of foreign bodies was mainly in the right and left main bronchus, and the most common complications were atelectasis and emphysema. All patients had undergone a rigid upper tracheobronchoscopy and foreign body was found in 80 patients (48%). There was no need to perform neither tracheotomy, nor any further surgical treatment, as for example thoracotomy, in any patient. Good education is the best prevention.

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