A Case of Concrete Fragments Constituting Intrabronchial Foreign Bodies in Bilateral Bronchi

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  • Kuno Haruka
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital
  • Hirose Kazuki
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital
  • Furutani Wataru
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital
  • Yamamoto Chie
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital
  • Hasegawa Isao
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital
  • Kubota Yutaka
    Department of Pulmonary Medicine, Japanese Red Cross Society Kyoto Daini Hospital

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Other Title
  • 両側気管支にコンクリート片が嵌頓した気管支内異物の1例

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Abstract

<p>Background. Bronchial foreign bodies are commonly reported, but reports of concrete fragments in bilateral bronchi are rare. Case. A 55-year-old man lost consciousness during demolition work, and became aware of difficulty in breathing after he recovered. A computed tomography showed foreign bodies in the right middle and the left main bronchi. We prepared for progression of respiratory failure by extracorporeal membrane oxygenation (ECMO) before treatment. A flexible bronchofiberscopy showed concrete fragments in bilateral bronchi, which we unsuccessfully attempted to remove with alligator forceps and basket forceps. We then successfully removed the concrete fragments from both bronchi using a tripod grasping forceps. Conclusion. There are few case reports of foreign bodies in the bilateral bronchi and to the best of our knowledge, there are no previous adult cases. The foreign objects in bilateral bronchi were successfully extracted with a flexible bronchoscope after carefully considering extraction methods and taking measures against respiratory failure.</p>

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