A Case of Two Episodes of a Foreign Body Removed via Bronchoscopy

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  • 二度の内視鏡的摘出術を施行した気管支異物の1例

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Abstract

Background. The need to remove a foreign body via bronchoscopy in a normal adult twice is rare. Case. A 68-year-old man consulted our hospital for treatment for yellow sputum in December 2007. Chest CT showed a shadow with calcification in the right main bronchus. Based on the CT findings and the patient's history of an episode of getting on a fish bone stuck in his throat while eating, we suspected a foreign body and performed bronchoscopy. The bronchoscope showed a foreign body in the right main bronchus, which was subsequently removed. The foreign body was thought to be the bone of a sea bream. Approximately four years later, chest CT and bronchoscopy showed a shell between the left upper and lower bronchi, which we removed via bronchoscopy. Conclusions. Patients with a history of bronchial foreign bodies, even normal adults, should be evaluated for the possibility of a second foreign body and then be followed carefully.

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