Long-standing foreign body of the middle lobe bronchus, simulating a tumor

2020 ◽  
Vol 26 (2) ◽  
pp. 39
Author(s):  
V.V. Pysanka ◽  
A.V. Rodin ◽  
A.S. Steshits ◽  
O.A. Vishnevsky
Keyword(s):  
Foreign Body ◽  
Middle Lobe ◽  
Lobe Bronchus

scholarly journals Foreign body extraction through the rigid bronchoscopy

2011 ◽  
Vol 68 (10) ◽  
pp. 878-880 ◽  
Author(s):  
Stanko Mrvic ◽  
Milos Milosavljevic ◽  
Dragan Stojkovic ◽  
Slobodan Milisavljevic ◽  
Dragce Radovanovic ◽  
...  
Keyword(s):  
Foreign Body ◽  
Pediatric Population ◽  
Tracheobronchial Tree ◽  
Rigid Bronchoscopy ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Segmental Bronchus ◽  
Foreign Body Extraction ◽  
The Right ◽  
High Level

Introduction. Foreign body aspiration into tracheobronchial tree represents an urgent condition at high level of risk. Etiology is different, and this condition is typical for all ages with highest incidence in pediatric population. Case report. A successful foreign body removal (partial denture) in a 34-year old man was presented. Radiography and computerized tomography of the chest showed a foreign body localized at the level of the right bronchus including the right middle lobe bronchus. By the use of rigid bronchoscopy, a foreign body was visualized and mobilized from the segmental bronchus in the first act, and then completely extracted. Conclusion. Efficient diagnostics and extraction are imperative for the aspirated foreign body preventing life-threatening complications.

Tracheobronchial Compression in Acyanotic Congenital Heart Disease

1983 ◽  
Vol 92 (4) ◽  
pp. 387-390 ◽  
Author(s):  
Norman T. Berlinger ◽  
John Foker ◽  
Charles Long ◽  
Russell V. Lucas
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Main Bronchus ◽  
Ductus Arteriosus ◽  
Pulmonary Arteries ◽  
Tracheobronchial Tree ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Acyanotic Congenital Heart Disease

Children with acyanotic congenital heart disease frequently develop respiratory difficulties such as atelectasis, pneumonia, or infantile lobar emphysema. In some cases, the cause of the respiratory difficulty is compression of the tracheobronchial tree by hypertensive dilated pulmonary arteries, since this type of heart disease frequently demonstrates large left-to-right intracardiac shunts. Sites of predilection for compression include the left main bronchus, the left upper lobe bronchus, the junction of the right bronchus intermedius and right middle lobe bronchus, and the left side of the distal trachea. Cardiac anomalies which predispose to this type of compression include ventricular septal defect, patent ductus arteriosus, interruption of the aortic arch, and tetralogy of Fallot. Pulmonary arteriopexy may relieve the tracheobronchial compression.

scholarly journals Auscultating a pea: the stethoscope may matter in otorhinolaryngology emergency evaluation

2021 ◽  
Vol 7 (3) ◽  
pp. 530
Author(s):  
Francisco Alves De Sousa ◽  
Ana Costa Silva ◽  
Ana Nóbrega Pinto ◽  
Cecília Almeida E. Sousa
Keyword(s):  
Foreign Body ◽  
Lower Lobe ◽  
Signs And Symptoms ◽  
Foreign Body Sensation ◽  
Careful Examination ◽  
Lower Airway ◽  
Lobe Bronchus ◽  
Body Sensation ◽  
The Right

<p>Foreign body sensation is a common complaint in the otorhinolaryngology emergency. Careful examination of the patient’s pharynx is mandatory, but sometimes the object is not visualized. In such scenario, it may be important to explore signs and symptoms indicating lower aerodigestive impaction. This work describes the case of a 73-year-old woman without relevant comorbidities attending to emergency care. She complained of a foreign body sensation on the right side of the throat after ingesting a meal, which motivated referral to otorhinolaryngology. Flexible transnasal nasopharyngoscopy was unremarkable and no foreign bodies were found. Auscultation was performed revealing low-pitch expiratory wheezing on her right hemithorax. The suspicion of bronchial foreign body was then raised, which was ultimately confirmed by imaging and bronchoscopy, showing an impacted pea on the right lower lobe bronchus. The stethoscope was hence determinant for detecting aspiration, by revealing consistent alterations. Its usage should be encouraged in similar scenarios, highlighting the role of this classic but sometimes forgotten tool. Importantly, higher neck/throat sensations should not exclude the possibility of a lower airway foreign body.</p>

scholarly journals A case of complete transection of the middle lobe bronchus due to blunt trauma

2018 ◽  
Vol 32 (2) ◽  
pp. 216-220
Author(s):  
Kei Matsubara ◽  
Takahiko Misao ◽  
Shin-ichi Kawana ◽  
Yuuya Kokita ◽  
Takeshi Yoshikawa ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Complete Transection

Middle lobe syndrome caused by foreign body granuloma masquerading as a Carcinoid tumor

2006 ◽  
Vol 22 (1) ◽  
pp. 88-88
Author(s):  
S Kumar ◽  
T Sundaramoorthi ◽  
S Cherian ◽  
NM Sankar ◽  
BR Jaganath ◽  
...  
Keyword(s):  
Foreign Body ◽  
Carcinoid Tumor ◽  
Middle Lobe ◽  
Foreign Body Granuloma ◽  
Middle Lobe Syndrome

Injury to the Middle Lobe Bronchus and Pulmonary Artery: An Unusual Pattern

1983 ◽  
Vol 35 (2) ◽  
pp. 156-158 ◽  
Author(s):  
A. Zapolanski ◽  
R. Ilves ◽  
T.R.J. Todd
Keyword(s):  
Pulmonary Artery ◽  
Middle Lobe ◽  
Lobe Bronchus ◽  
Unusual Pattern

scholarly journals Neglected Oeso-Tracheal Fistula on Foreign Body: A Case Report

2019 ◽  
Vol 6 ◽  
Author(s):  
Yassine Baiz ◽  
Oussama Abdessalam Afandi ◽  
Hicham Fenane ◽  
Yassine Msougar
Keyword(s):  
Foreign Body ◽  
Pulmonary Infection ◽  
Middle Lobe ◽  
Metallic Foreign Body ◽  
Low Socioeconomic ◽  
Thoracic Ct ◽  
Respiratory Physiotherapy ◽  
The Right

This patient is a 24-year-old student by profession and from a non-consanguineous marriage, 2nd of a sibship of 4, originally and resident in Marrakech of low socioeconomic level, having as antecedent an inhalation of a neglected metallic foreign body at the age of 2 years, which presents itself for chronic bronchorrhea which has been evolving for 5 years and of recurrent pulmonary infection with the notion of a false route during swallowing which appeared 6 months ago, in who underwent pleuropulmonary examination noted the presence of right basithoracic snoring rattles, thoracic CT and bronchial fibroscopy demonstrated a metallic foreign body at the level of the right bronchus strain with dilatation of the cylindrical type sequential bronchi interesting the associated middle lobe to an oesotracheal fistula of supracarinary topography. preoperative preparation with antibiotic therapy and bronchial drainage respiratory physiotherapy and a decision on thoracic surgical intervention with left selective intubation was taken and right posterolateral thoracotomy was performed with spotting and extraction of the foreign body by bronchotomy with dissection and liberation of the margins fistula and padding of the oesotracheal fistula, the postoperative follow-up was simple and the course in the course, medium and long term was marked by a good clinical, biological and radiological improvement with a decline of 14 months.

scholarly journals Middle lobe syndrome: An exceptional presentation of concomitant lepidic adenocarcinoma and bronchial anthracofibrosis

2017 ◽  
Vol 87 (3) ◽  
Author(s):  
Shekhar Kunal ◽  
Sudhir Jain ◽  
Ashok Shah
Keyword(s):  
Fiberoptic Bronchoscopy ◽  
Middle Lobe ◽  
Transbronchial Biopsy ◽  
Biomass Fuel ◽  
Bronchioloalveolar Carcinoma ◽  
Small Cell Lung ◽  
Lobe Bronchus ◽  
Polish Literature ◽  
Middle Lobe Syndrome ◽  
Right Middle Lobe

Lepidic adenocarcinoma previously known as bronchioloalveolar carcinoma (BAC) is a non-small cell lung cancer with an indolent presentation. Bronchial anthracofibrosis (BAF) is caused by long-standing exposure to biomass fuel smoke often in poorly ventilated kitchen. Middle lobe syndrome (MLS) due to BAF is not uncommon however, lepidic adenocarcinoma then known as BAC, presenting as MLS has been documented only once before in the Polish literature. A 68-year-old never-smoker female with biomass fuel smoke exposure presented with cough and breathlessness. Imaging revealed MLS. Fiberoptic bronchoscopy visualised bluish-black hyperpigmentation with narrowing and distortion of right middle lobe bronchus suggestive of BAF. Transbronchial biopsy confirmed presence of lepidic adenocarcinoma. To our knowledge, this is the first detailed description of lepidic adenocarcinoma and BAF presenting as MLS. 

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