Nagano Hiroaki, Maeda Akiko, Kato Takashi, Kitamura Ryoichi, Higashiura Wataru
Department of Respiratory Medicine Okinawa Chubu Hospital Okinawa Japan.
Department of Respiratory Surgery Okinawa Chubu Hospital Okinawa Japan.
Respirol Case Rep. 2020 Sep 3;8(7):e00647. doi: 10.1002/rcr2.647. eCollection 2020 Oct.
The presence of foreign bodies (FB) in the airway is a potentially life-threatening event. We encountered a rare case of long-standing bronchial FB complicating with intermittent massive haemoptysis in a 42-year-old man. He denied any prior history of aspiration. The FB was buried deep in the bronchial epithelium and could not be removed using bronchoscopy. Bronchial angiography revealed marked dilation of the inferior lobe branch of the bronchial artery due to the FB. Bronchial artery embolization (BAE) was performed, which was followed by left lower lobectomy (LLL). The FB was keyhole-shaped, composed of a plastic-like material, with an appearance akin to an ancient Japanese burial mound. This case was extremely unique, since a strange FB remained in the bronchi for a long time, which caused massive haemoptysis due to the dilation of the bronchial artery.
气道内异物（FB）的存在是一种潜在的危及生命的事件。我们遇到了一例罕见的长期支气管异物病例，该病例发生在一名42岁男性身上，并发间歇性大量咯血。他否认有任何既往误吸史。异物深埋在支气管上皮中，无法通过支气管镜取出。支气管血管造影显示，由于异物的存在，支气管动脉下叶分支明显扩张。进行了支气管动脉栓塞术（BAE），随后进行了左下肺叶切除术（LLL）。异物呈锁孔状，由类似塑料的材料组成，外观类似于古代日本的古墓。该病例极为独特，因为一个奇怪的异物在支气管内长期存留，导致支气管动脉扩张并引起大量咯血。
