Misdiagnosis of a Tracheal Foreign Body of Decades-Long Duration

Ciolek, Peter J.; Lorenz, Robert R.

doi:10.1001/jamaoto.2016.2050

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Radiological signs of foreign bodies in the upper airways include overinflation, atelectasis, mediastinal shifts and lung infiltrates (2,4,7), but it is important to note that radiolucent foreign bodies are more common than radiopaque bodies (2,4); therefore, in up to 50% of the patients, there is a normal X-ray. In most cases, symptoms develop within the first 48 h (4,8); however, patients can be asymptomatic for years (9). We would like to present a case where consideration of a good clinical history and evaluation of the symptoms were very important for the diagnosis and further management of this clinical condition.…”

Section: Introductionmentioning

confidence: 99%

Upper-airway foreign bodies: is a clinical approach enough for proceeding with invasive management? Evidence from a case

et al. 2021

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Introduction: Upper-airway foreign bodies are a common condition in the emergency room, which can lead to death among different-aged populations, and a fast clinical recognition and management have led to improvement in the outcomes. Objective: To present a clinical case of a male patient with an upper-airway foreign body, which only required clinical evaluation before surgical management. Clinical case: We report the case of an 8-year-old Hispanic boy, who presented to the emergency room with upper respiratory symptoms, including dry cough, dysphagia, and chest discomfort; after clinical evaluation, a diagnosis of an upper-airway foreign body was made; the patient was taken to the operating room, and a tracheal foreign body was removed using rigid bronchoscopy. The post-operative course was uneventful, and the patient was discharged. Discussion: The physiopathology, diagnosis, and management based on the presented case are discussed. Conclusion: A good clinical history, along with a thorough physical examination and a high index of suspicion from the clinician, is enough for achieving a diagnosis, facilitating early management and reducing complications.

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Section: Introductionmentioning

confidence: 99%

Upper-airway foreign bodies: is a clinical approach enough for proceeding with invasive management? Evidence from a case

et al. 2021

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An unusual tracheal foreign body in a middle-aged male with a 15-year history of coal use: a case report

et al. 2021

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Background Long-term exposure to coal dust causes respiratory disease. In chest computer tomography (CT), pulmonary nodules, pulmonary interstitial fibrosis and emphysema manifest themselves. However, tracheal foreign bodies caused by coal dust are rarely reported. In this study, we report a special case of a tracheal coal foreign body, in which the patient has neither a history of coal work nor foreign body inhalation. Case presentation A 49-year-old man was diagnosed with chronic obstructive pulmonary disease (COPD) due to chronic cough and exertional dyspnoea. His symptoms gradually worsened despite treatment for COPD. Chest radiograph and CT images showed an irregular high-density nodule inserting fromthe trachea into the right thyroid at approximately the level of the 7th cervical vertebra. Fiberoptic bronchoscopy revealed that the tracheal lumen was mostly blocked. After the surgery, the energy spectrum CT quantitative analysis showed that the foreign body was likely that of a bituminous coal specimen. Conclusions For cases in which a foreign body in the airway is highly suspected, early fiberoptic bronchoscopy and radiographic examinations should be performed as soon as possible to avoid misdiagnosis and ensure timely treatment.

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Misdiagnosis of a Tracheal Foreign Body of Decades-Long Duration

Cited by 2 publications

References 6 publications

Upper-airway foreign bodies: is a clinical approach enough for proceeding with invasive management? Evidence from a case

Upper-airway foreign bodies: is a clinical approach enough for proceeding with invasive management? Evidence from a case

An unusual tracheal foreign body in a middle-aged male with a 15-year history of coal use: a case report

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