Flexible Bronchoscopic Removal of a Forgotten Intrabronchial Foreign Body

  • Ashesh Dhungana National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.
  • Ajit Thapa National Academy of Medical Sciences, Kantipath, Kathmandu, Nepal.

Abstract

Foreign 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.

Published
2019-01-28
How to Cite
DhunganaA., & ThapaA. (2019). Flexible Bronchoscopic Removal of a Forgotten Intrabronchial Foreign Body. Journal of Nepal Health Research Council, 16(41), 470-472. https://doi.org/10.33314/jnhrc.v16i41.1260