Reversible Cystic Dilatation of Distal Airways Due to Foreign Body

Kd, Ernst; Mahmud, Firoz

doi:10.1097/00007611-199403000-00022

Cited by 18 publications

(12 citation statements)

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“…Ernst and Mahmud and subsequently Mansour et al described similar cases, with bronchiectasis due to FBA in which complete resolution were provided by the removal of foreign bodies. 35 37 Pogorzelski and Zebrak described a 13 year old girl with long lasting recurrent pneumonia the main cause of which was a foreign body lodged in the intermediate bronchus. 34 The authors reported that the bronchoscopy revealed scars narrowing the intermediate bronchus, and the scar changes resolved after forming removal of the foreign body.…”

Section: Foreign Body Aspirationmentioning

confidence: 99%

Foreign body aspiration: clinical utility of flexible bronchoscopy

Dikensoy

Usalan

Filiz

2002

Postgraduate Medical Journal

175

149

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Foreign body aspiration is a worldwide health problem which often results in life threatening complications. More than two thirds of foreign body aspirations occur among children younger than 3 years. Organic materials such as nuts, seeds, and bones are most commonly aspirated. There is a wide range of clinical presentation, and often there is not a reliable witness to supply the clinical history, especially in children. Maintaining a high index of suspicion is therefore necessary for the diagnosis. None of the imaging methods employed in such cases are diagnostic, and bronchoscopy is frequently necessary for the diagnosis as well as the treatment. In adults, removal of the foreign body can be attempted during diagnostic examination with a fibreoptic bronchoscope under local anaesthesia, which may help to avoid any further invasive procedures with more complications. When diagnosis is delayed, complications of a retained foreign body such as unresolving pneumonia, lung abscess, recurrent haemoptysis, and bronchiectasis may necessitate a surgical resection. However, some of the late complications may resolve completely after the retrieval of the foreign body, therefore, a preoperative flexible bronchoscopy should always be considered in suitable cases.

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Section: Foreign Body Aspirationmentioning

confidence: 99%

Foreign body aspiration: clinical utility of flexible bronchoscopy

Dikensoy

Usalan

Filiz

2002

Postgraduate Medical Journal

175

149

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“…These changes are characteristic of bronchiectasis, 48 which has been recognized as a complication of aspirated objects for 50 years. [49][50][51][52] In this case, the site of the foreign body within the bronchus had a cushion of granulation tissue and an ulcerated surface, with exudation of fibrin and neutrophils (Fig. 7).…”

Section: Dr Robert H Cleveland's Diagnosismentioning

confidence: 78%

Case 31-1998

Cleveland¹,

Mark²

1998

N Engl J Med

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“…Nineteen to 26% of patients deteriorated over time when their bronchiectasis was assessed by bronchography 7,8 17 excision of contralateral damaged lung, 18 repair of a stenotic bronchus, 19 and removal of intrabronchial foreign body 20,21 . A recent HRCT study in cystic fibrosis, showed that peribronchial thickening improved in 11% of cases 2 weeks after treatment for acute exacerbation 22 …”

Section: Discussionmentioning

confidence: 99%

Regression of bilateral bronchiectasis with inhaled steroid therapy

Tsang¹,

Lam²,

Sun³

et al. 2002

Respirology

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Bronchiectasis is defined as pathological and permanent dilatation of the bronchial tree. Affected patients suffer from chronic sputum production and usually slowly progressive airway destruction as a result of continued airway infection and inflammation. Regression of bilateral bronchiectasis has never been reported in the English literature. We report the case of a 60-year-old woman with longstanding progressive idiopathic bilateral bronchiectasis whose respiratory symptoms, including sputum, rapidly disappeared after commencement of inhaled budesonide. Repeat computed tomography assessment 40 months after commencement of inhaled steroid therapy, showed partial regression of bronchial dilation and resolution of small airways sepsis. In the absence of other possible explanations for the partial resolution of the bronchiectasis, the present case suggests a possible benefit of inhaled steroid therapy in bronchiectasis.

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Reversible Cystic Dilatation of Distal Airways Due to Foreign Body

Cited by 18 publications

References 0 publications

Foreign body aspiration: clinical utility of flexible bronchoscopy

Foreign body aspiration: clinical utility of flexible bronchoscopy

Case 31-1998

Regression of bilateral bronchiectasis with inhaled steroid therapy

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