A Case of Bronchial Foreign Body in Which Virtual Bronchoscopic Navigation Was Useful

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  • Fukushima Akira
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Ito Katsuki
    Department of Respiratory Medicine, Konan Kosei Hospital
  • Yamada Chiaki
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Terashima Tsuneo
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Goto Yosuke
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Shimizu Takahiro
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Ando Akira
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital
  • Aso Hiromichi
    Department of Respiratory Medicine, Ichinomiya Municipal Hospital

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  • 気管支異物の摘出に際し仮想気管支鏡によるナビゲーションが有効だった1例

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<p>Background. We report a case in which a bronchial foreign body that could not be removed by initial flexible bronchoscopy was successfully removed using virtual bronchoscopic navigation during a re-examination. Case. A man in his 30s accidentally swallowed polishing equipment during treatment at a dental clinic. Chest images from a nearby medical institution showed a bronchial foreign body of approximately 16 mm in the right S10. The patient was referred to our department for the removal of a foreign body. Emergency flexible bronchoscopy was performed to remove the foreign body, but the removal was abandoned because the foreign body could not be found in the bronchial lumen of the right lower lobe. Surgery and removal by rigid bronchoscopy were also considered, but we decided to use a flexible bronchoscope again in an attempt at minimally invasive removal. We performed a virtual bronchoscopic navigation that targets a foreign body for a re-examination. Although the foreign body was not found on the re-examination, it was successfully removed using the virtual bronchoscopy findings and fluoroscopic imaging as a guide. Conclusion. Virtual bronchoscopic navigation may be useful for removing bronchial foreign bodies that have strayed into the distal lumen of the bronchus.</p>

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