Georgakopoulou Vasiliki E, Tarantinos Kyriakos, Mermigkis Dimitrios
Department of Pathophysiology and Pulmonology, Laiko General Hospital, Athens, GRC.
Department of Pulmonology, Sismanogleio General Hospital, Athens, GRC.
Cureus. 2024 Apr 4;16(4):e57596. doi: 10.7759/cureus.57596. eCollection 2024 Apr.
Although aspiration of a foreign body into the trachea and bronchi can occur in all age groups, it is more common in infants and young children. Foreign bodies in the tracheobronchial tree are uncommon in adults and mainly present in patients with dysphagia and an altered level of consciousness. The identification of foreign bodies in the tracheobronchial tree is frequently overlooked or delayed, leading patients to present later with chronic symptoms and potential complications. These complications may include persistent coughing, wheezing, obstructive pneumonitis, bronchiectasis, and abscess formation secondary to recurrent pulmonary infections. This article aims to present the case of a 27-year-old patient without risk factors for aspiration who has experienced recurrent self-limiting hemoptysis episodes for five years. Bronchoscopy revealed a foreign body at the entrance to the middle lobe bronchus. The presence of a foreign body in the tracheobronchial tree should be considered in any patient with recurrent hemoptysis. Bronchoscopy leads to accurate diagnosis, treatment, and prevention of complications.
虽然气管和支气管异物吸入可发生于所有年龄组，但在婴幼儿中更为常见。气管支气管树中的异物在成人中并不常见，主要见于吞咽困难和意识水平改变的患者。气管支气管树中异物的识别常常被忽视或延迟，导致患者出现慢性症状和潜在并发症。这些并发症可能包括持续性咳嗽、喘息、阻塞性肺炎、支气管扩张以及反复肺部感染继发的脓肿形成。本文旨在介绍一名27岁无异物吸入危险因素的患者，该患者5年来反复出现自限性咯血发作。支气管镜检查发现中叶支气管入口处有异物。对于任何反复咯血的患者，都应考虑气管支气管树中存在异物。支气管镜检查有助于准确诊断、治疗和预防并发症。
