Hashemi Seyed Mozafar, Kolahdouzan Mohsen, Shahabi Shahab, Talebzadeh Hamid, Rezaei Mohammad Taghi
Department of Thoracic Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of General Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Otorhinolaryngol. 2017 Jan;29(90):59-61.
Foreign body aspiration is usually a serious condition that is most common among the pediatric population, and rare in adults. In adults, aspiration may be tolerated for a long time.
Our first case is a 38-year-old man who presented with a 2-day history of swallowing a foreign body. He was completely asymptomatic. Chest X-ray revealed the presence of 5-cm foreign object in the right main bronchus. Rigid bronchoscopy was performed and a knife was removed from the right main bronchus. Second, a 57-year old man with a known case of laryngeal cancer from 15 years previously was admitted for respiratory distress. He had previously undergone a permanent tracheostomy and had received radiotherapy for his cancer. At the first visit, the patient had prominent distress and was transferred to the operating room as an emergency. A tube was seen on chest X-ray. On bronchoscopy, we found the tracheostomy situated in the carina. The cleaved tracheostomy was removed using the grasper, by grasping the cuff line.
We conclude that foreign body aspiration might be completely asymptomatic, especially in an adult. A good history and imaging findings can help us to diagnose and treat the condition carefully.
异物吸入通常是一种严重情况，在儿童群体中最为常见，在成人中则较为罕见。在成人中，异物吸入可能会被长时间耐受。
我们的第一个病例是一名38岁男性，有吞咽异物2天的病史。他完全没有症状。胸部X光显示右主支气管内有一个5厘米的异物。进行了硬质支气管镜检查，并从右主支气管中取出一把刀。其次，一名57岁男性，15年前被诊断为喉癌，因呼吸窘迫入院。他之前接受过永久性气管切开术，并因癌症接受过放疗。初次就诊时，患者明显呼吸困难，作为急诊被转至手术室。胸部X光显示有一根管子。在支气管镜检查中，我们发现气管切开术位于隆突处。通过抓住套管线，用抓取器取出了裂开的气管切开术管子。
我们得出结论，异物吸入可能完全没有症状，尤其是在成人中。详细的病史和影像学检查结果有助于我们仔细诊断和治疗这种情况。
