Document Detail

A tale of three aspirations: foreign bodies in the airway.
MedLine Citation:
PMID:  14514789     Owner:  NLM     Status:  MEDLINE    
Tracheobronchial foreign body aspiration is a serious medical problem, with clinical manifestations ranging from acute asphyxiation to insidious lung damage, as demonstrated by the three presented cases. Patient 1 aspirated during dinner, emergency bronchoscopy retrieved pieces of food, and she fully recovered the following day. Patient 2 presented with recurrent pneumonia and a right lower lobe lung abscess. After right lower lobectomy, pathology revealed a foreign object in the right main stem bronchus, a peanut aspirated one year earlier. Patient 3 became unresponsive several days after spinal surgery. The differential diagnosis included myocardial infarction, stroke, and foreign body aspiration. The patient died and necropsy revealed a foreign body in the right main stem bronchus (cooked meat). Thus, foreign body aspiration is not always suspected clinically, and the pathologist may play an important role in making the diagnosis. Histological identification of the aspirated material may be necessary for definitive diagnosis. Therefore, sections of commonly aspirated foods are presented, together with a 10 year history of aspirated objects received by this institution's surgical pathology department.
B Pritt; M Harmon; M Schwartz; K Cooper
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical pathology     Volume:  56     ISSN:  0021-9746     ISO Abbreviation:  J. Clin. Pathol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-29     Completed Date:  2003-11-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0376601     Medline TA:  J Clin Pathol     Country:  England    
Other Details:
Languages:  eng     Pagination:  791-4     Citation Subset:  AIM; IM    
Fletcher Allen Health Care, Department of Pathology, University of Vermont, 111 Colchester Avenue, Burlington, VT 05401, USA.
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MeSH Terms
Aged, 80 and over
Arachis hypogaea
Bronchi* / surgery
Diagnosis, Differential
Foreign Bodies / surgery*
Lung / surgery

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