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Removal of a foreign body from the bronchial tree – a new method

Published online by Cambridge University Press:  29 June 2007

N. Umapathy*
Affiliation:
Departments of ENT, Basildon Hospital, Essex, UK.
J. Panesar
Affiliation:
Departments of ENT, Basildon Hospital, Essex, UK.
B. F. Whitehead
Affiliation:
Department of Cardiac TransplantGreat Ormond Street Hospital for Children, London, UK.
J. F. N. Taylor
Affiliation:
Department of Cardiology, Great Ormond Street Hospital for Children, London, UK.
*
Address for correspondence: Dr N. Umapathy, 61 Grange Rd,Birmingham B14 7RN.

Abstract

Tracheo-bronchial foreign bodies can be very difficult to remove. This may be related to the location and type of foreign body, the experience of the bronchoscopist and the availability of appropriate instruments.

We report a case of an uncommon foreign body in an unusual location in an adolescent in whom conventional attempts to remove it failed. The foreign body was eventually recovered using a flexible bronchoscope and an intravascular wire loop snare under fluoroscopic control. The patient was saved from thoracotomy and possible lobectomy.

To our knowledge, this combined fluoroscopic and endoscopic approach for the removal of a difficult tracheobronchial foreign body is the first reported case in the literature.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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