A Case of Fish Bone Removed by the Bronchoscopy

DOI
  • Fukushima Koki
    Department of Respiratory Medicine, Eiwakai Medical Corporation Izumikawa Hospital
  • Morio Ryosuke
    Department of Respiratory Medicine, Eiwakai Medical Corporation Izumikawa Hospital
  • Tomari Shinya
    Department of Respiratory Medicine, JCHO Isahaya General Hospital
  • Suyama Naofumi
    Department of Respiratory Medicine, Eiwakai Medical Corporation Izumikawa Hospital
  • Izumikawa Kinichi
    Department of Respiratory Medicine, Eiwakai Medical Corporation Izumikawa Hospital
  • Izumikawa Takuya
    Department of Respiratory Medicine, Eiwakai Medical Corporation Izumikawa Hospital
  • Izumikawa Koichi
    Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences
  • Mukae Hiroshi
    Department of Respiratory Medicine, Nagasaki University Hospital

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Other Title
  • 魚骨の誤嚥により閉塞性肺炎を呈し，気管支鏡下に魚骨を除去した1例

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Abstract

<p>Background. Many patients with bronchial foreign bodies present to the hospital complaining of chronic respiratory symptoms such as cough. We report a case of involving the bronchoscopic removal of fish bone that had been aspirated two years previously along with a review of the relevant literature. Case. A 71-year old woman presented to our hospital complaining of cough. In October 20XX, the chest computed tomography (CT) showed atelectasis in the left lobe and a mass with a high-density line at the entrance of the left lobe branch. Results. Bronchoscopy revealed a fish bone in the left upper lobe. Considering the risk of airway bleeding, the patient was referred to an advanced medical institution where respiratory surgical assistance is available and bronchoscopic removal of the fish bone was performed. Since bleeding was observed during the procedure, the fish bone was removed by grasping forceps while stopping the bleeding. Conclusion. In patients with complaints of chronic cough, it is important to conduct a detailed medical interview about aspiration, and to perform radiological imaging, mainly CT, at an early stage. Moreover, when removing fish bones, it is important to assume the potential for airway bleeding and to perform a preoperative examination and make appropriate preparations.</p>

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