Journal Information
Vol. 56. Issue 5.
Pages 325 (May 2020)
Share
Share
Download PDF
More article options
Vol. 56. Issue 5.
Pages 325 (May 2020)
Clinical Image
Full text access
Migration of a sharp foreign body as a casual finding in a patient with tracheostomy
Cuerpo extraño punzante migratorio como hallazgo casual en paciente con traqueostomía
Visits
964
Blanca de Vega Sáncheza,b,
Corresponding author
blancadevegasanchez@gmail.com

Corresponding author.
, Sofia Jaurrieta Largoc, José María Matilla Gonzálezd
a Unidad de Broncoscopias y Técnicas Pleurales, Servicio de Neumología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
b Grupo Emergente de Neumología Intervencionista SEPAR (GEBRYN)
c Servicio de Neumología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
d Servicio de Cirugía Torácica, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
This item has received
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

We report the case of a 66-year-old man, former smoker, with complete laryngectomy in February 2017 due to squamous cell carcinoma, T4N2M0, referred on an outpatient basis for profiling of a lung mass in the right lower lobe by flexible bronchoscopy (FB).

Radiological evidence from the day of the FB showed the presence of a radiopaque structure located in the bronchus intermedius (Fig. 1) not visible on the CT scan conducted 2 weeks previously. FB revealed a sharp metallic foreign body, located at that time within the left main bronchus, visible under fluoroscopy (Fig. 1). We used a 4.2mm Radial Jaw™ clamp (Boston Scientific) for the endoscopic removal of an intramuscular needle 2.5cm in length. The beveled section that was embedded in the anteromedial wall of the left main bronchus had to be removed prior to complete withdrawal (Fig. 1), and a hemostatic surgical clamp was needed for safe extraction of the foreign body via the tracheostomy. The patient was interviewed again. He reported that he had dropped the foreign body after cleaning the tracheostomy with saline solution, and that hemoptysis had been self-limited.

Figure 1.

(A) Radiopaque structure embedded in the bronchus intermedius. (B) Foreign body in the left main bronchus visible under fluoroscopy. (C) Endoscopic view of foreign body. (D) Intramuscular needle 2.5cm in length.

(0.09MB).

FB is a suitable tool not only for the locating endobronchial foreign bodies,1 but also for the successful and minimally invasive removal of these objects.2

References
[1]
M. Kooblall.
An unusual foreign body.
Arch Bronconeumol, 52 (2016), pp. 116-117
[2]
M. Blanco Ramos, M. Botana-Rial, E. García Fontán, A. Fernández-Villar, M. Gallas Torreira.
Update in the extraction of airway foreign bodies in adults.
J Thorac Dis, 8 (2016), pp. 3452-3456

Please cite this article as: de Vega Sánchez B, Jaurrieta Largo S, Matilla González JM. Cuerpo extraño punzante migratorio como hallazgo casual en paciente con traqueostomía. Arch Bronconeumol. 2020;56:325.

Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?