Kurnutala Lakshmi N, Strother Angela W, Hierlmeier Bryan J
Department of Anesthesiology, University of Mississippi Medical Center, Mississippi, USA.
Saudi J Anaesth. 2020 Oct-Dec;14(4):514-516. doi: 10.4103/sja.SJA_237_20. Epub 2020 Sep 24.
Tracheobronchial foreign bodies are common in pediatric patients, but also seen in adult patients. Most of these patients present with history of foreign body inhalation, or with the symptoms like cough, respiratory distress. In this paper, we would like to report an incidental finding of a tablet in tracheobronchial tree during double lumen tube placement with fiberoptic bronchoscopy in a middle-aged patient scheduled for right lung decortication for hemothorax. We also learned that delay in removing the tablet would make the removal of foreign body complicated. The patient did not report any history of aspiration or have any signs and symptoms consistent with aspiration. We also discussed the difficult in diagnosing foreign-body aspiration in adults with nonspecific symptoms.
气管支气管异物在儿科患者中很常见，但在成人患者中也可见到。这些患者大多有异物吸入史，或伴有咳嗽、呼吸窘迫等症状。在本文中，我们报告了一例在为一名因血胸计划行右肺纤维板剥脱术的中年患者放置双腔管并进行纤维支气管镜检查时，在气管支气管树中意外发现一片药片的病例。我们还了解到，延迟取出药片会使异物取出变得复杂。该患者未报告任何误吸史，也没有任何与误吸相符的体征和症状。我们还讨论了诊断有非特异性症状的成人异物误吸的困难。
