Alharthi Bader Jaber, Masoodi Ibrahim, Almourgi Majed A, Alzahrani Seham
Department of Pulmonary Medicine, King Abdul Aziz Specialist Hospital Taif, Taif, Saudi Arabia.
Department of Medicine, College of Medicine, Taif University, Taif, Saudi Arabia.
BMJ Case Rep. 2014 Dec 17;2014:bcr2014207438. doi: 10.1136/bcr-2014-207438.
Undiagnosed and retained foreign bodies in lungs may result in serious complications such as pneumonia, atelectasis or bronchiectasis. We describe a clinical scenario of chronic and recurrent cough in a 41-year-old woman with no comorbidities. Her chest CT scan was suggestive of a mass lesion in the right main bronchus. Bronchoscopic examination showed no growth; instead, note was made of a plastic foreign body. The foreign body was retracted using a rigid Bronchoscope. The patient admitted unintentionally aspirating this plastic object when she was in her early 20s but denied any serious respiratory complication at that time or later. However, she was admitted 6 years prior to current presentation with pneumonia and discharged home following parenteral antibiotic therapy. On retrieval of the foreign body her clinical condition improved and she has been following up at our clinic for the past 2 years.
肺部未被诊断出且残留的异物可能会导致严重的并发症，如肺炎、肺不张或支气管扩张。我们描述了一名41岁无合并症女性慢性复发性咳嗽的临床病例。她的胸部CT扫描提示右主支气管有一个肿块病变。支气管镜检查未发现肿物；相反，发现了一个塑料异物。使用硬支气管镜将异物取出。患者承认在20岁出头时无意中吸入了这个塑料物体，但否认当时或之后有任何严重的呼吸道并发症。然而，她在本次就诊前6年因肺炎入院，经静脉抗生素治疗后出院回家。取出异物后她的临床状况有所改善，在过去2年里一直在我们诊所随访。
