A 20 Years Delayed Diagnosis of Foreign Body Aspiration: Wishbone

Yıl 2016, , 55 - 58, 01.01.2016

Ahmet Ulusan , İlknur Aytekin Maruf Sanli Levent Elbeyli

https://doi.org/10.5455/umj.20160210060527

Öz

Background: Foreign body aspiration FBA into the airway is an emergency condition, which is frequently encountered in emergency services, requires immediate intervention, and could lead to troublesome situation in case of delayed diagnosis and treatment. A detailed anamnesis plays an important role in diagnosis. Overlooked or delayed diagnosis could lead to unintended situations that might result in loss of lung tissue. Case Presentation: We presented a 71-year-old female patient who aspirated a wishbone 20 years ago and did not consult a physician due to regression of her complaints. The patient was referred to our clinic with hemoptysis. A foreign body was detected in her airway and accordingly she had to undergo left pneumonectomy, which suggested that delayed diagnosis of FBA leads to serious problems including loss of lung tissue, as was in the present case. Conclusion: In such cases, physical examination should be performed cautiously and a precise radiological scanning should be carried out. We recommend rigid or flexible bronchoscopy in the event of suspicious FBA into the airway.

Anahtar Kelimeler

Foreign bodies, respiratory aspiration, delayed diagnosis

Kaynakça

• Childs Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 1999;115:1357-62.
• Rafanan AL, Mehta AC. Adult airway foreign body removal. What’s new?. Clin Chest Med 2001;22:319-30.
• Mise K, Jurcev Savicevic A, Pavlov N, Jankovic S. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995-2006.Surg Endosc2009;23:1360-4.
• Limper AH, Prakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990;112:604-9.
• Sahin E, Karadayı S, Kaptanoglu M. Tracheobronchial Foreign Bodies. Türkiye Klinikleri J Thor Surg-Special Topics 2009;2:32-7.
• McGuirt WF, Holmes KD, Feehs R, Browne JD. Tracheobronchial foreign bodies. Laryngoscope 1988;98:615-8.
• In Turkish: Yıldızeli B, Yüksel M. Yabancı Cisim Aspirasyonları. In: Yüksel M, Kaptanoğlu M, eds. Pediatrik Göğüs Cerrahisi. İstanbul: Turgut Yayıncılık; 2004. p. 151-65.
• Rodrigues AJ, Oliveira EQ, Scordamaglio PR, Gregório MG, Jacomelli M, Figueiredo VR. Flexible bronchoscopy as the first- choice method of removing foreign bodies from the airways of adults. J Bras Pneumol 2012;38:315-20.
• Shlizerman L, Mazzawi S, Rakover Y, Ashkenazi D. Foreign body aspiration in children: the effects of delayed diagnosis. Am J Otolaryngol 2010;31:320-4.
• Erol MM, Ciftci H, Döngel I. Current Approach for Trachea Bronchial Foreign Body Aspirations. Selçuk Tıp Derg 2012;28:201-4.
• Martinot A, Closset M, Marquette CH, Hue V, Deschildre A, Ramon P, et al. Indications for flexible versus rigid bronchoscopy in children with suspected foreign-body aspiration. Am J Respir Crit Care Med 1997;155:1676-9.
• Dong YC, Zhou GW, Bai C, Huang HD, Sun QY, Huang Y, et al. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience with 200 cases in China. Intern Med 2012;51:2515-9.
• Ozdemir C, Sökücü SN, Karasulu L, Büyükkale S, Dalar L. Foreign Body Aspiration in Adult: Analysis of 28 Cases. Eurasian J Pulmonol 2015;17:29-34.
• In Turkish: Karadayı S, Kaptanoglu M. Yabancı Cisim Aspirasyonları. In: Okten I, Kavukçu HS, eds. Göğüs Cerrahisi, Türk Göğüs Cerrahisi Derneği. 2nd ed. İstanbul: İstanbul Medikal Sağlık ve Yayıncılık; 2013. p. 859-64.