Abstract
We describe two otherwise healthy subjects with many years sequelae due to lung aspiration. In both, diagnosis was delayed due to lack of history of aspiration. Recurrent pneumonia in the same segment in one, and migratory pneumonia in the other, could have suggested the diagnosis. Review of the literature shows that occult foreign body aspiration poses difficulties in diagnosis and that often a history of aspiration is lacking. However, the recurrent nature and the localization of the pneumonia, as well as the findings during bronchoscopy, should alert the physician to the possibility of foreign body aspiration.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bartlett J. G., Gorbach S. L. The triple threat of aspiration pneumonia. Chest. 1975 Oct;68(4):560–566. doi: 10.1378/chest.68.4.560. [DOI] [PubMed] [Google Scholar]
- Berger P. E., Kuhn J. P., Kuhns L. R. Computed tomography and the occult tracheobronchial foreign body. Radiology. 1980 Jan;134(1):133–135. doi: 10.1148/radiology.134.1.7350592. [DOI] [PubMed] [Google Scholar]
- Cavens T. R., McGee M. D., Miller R. R., Bowen D. A. Pneumocutaneous fistula secondary to aspiration of grass. J Pediatr. 1973 Apr;82(4):737–738. doi: 10.1016/s0022-3476(73)80614-6. [DOI] [PubMed] [Google Scholar]
- Chopra S., Simmons D. H., Cassan S. M., Becker S., Ben-Isaac F. E. Bronchial obstruction by incorporation of aspirated vegetable material in the bronchial wall. Am Rev Respir Dis. 1975 Nov;112(5):717–720. doi: 10.1164/arrd.1975.112.5.717. [DOI] [PubMed] [Google Scholar]
- Cotton E. K., Abrams G., Vanhoutte J., Burrington J. Removal of aspirated foreign bodies by inhalation and postural drainage. A survey of 24 cases. Clin Pediatr (Phila) 1973 May;12(5):270–276. doi: 10.1177/000992287301200606. [DOI] [PubMed] [Google Scholar]
- Da Silva A. M. Foreign body aspiration. S Afr Med J. 1982 Jan 23;61(4):130–134. [PubMed] [Google Scholar]
- Denney M. K., Berkas E. M., Snider T. H., Nedwicki E. G. Foreign body bronchiectasis. Dis Chest. 1968 May;53(5):613–616. doi: 10.1378/chest.53.5.613. [DOI] [PubMed] [Google Scholar]
- Fine A. J., Abram L. E. Asthma and foreign bodies. Ann Allergy. 1971 Apr;29(4):217–220. [PubMed] [Google Scholar]
- Inhaled foreign bodies. Br Med J (Clin Res Ed) 1981 May 23;282(6277):1649–1650. [PMC free article] [PubMed] [Google Scholar]
- Knoblich R. Pulmonary granulomatosis caused by vegetable particles. So-called lentil pulse pneumonia. Am Rev Respir Dis. 1969 Mar;99(3):380–389. [PubMed] [Google Scholar]
- LINTON J. S. Long-standing intrabronchial foreign bodies. Thorax. 1957 Jun;12(2):164–170. doi: 10.1136/thx.12.2.164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leonidas J. C., Stuber J. L., Rudavsky A. Z., Abramson A. L. Radionuclide lung scanning in the diagnosis of endobronchial foreign bodies in children. J Pediatr. 1973 Oct;83(4):628–631. doi: 10.1016/s0022-3476(73)80227-6. [DOI] [PubMed] [Google Scholar]
- ROSS D. N. Inhaled intrapleural foreign body; report of a case. Br J Surg. 1954 Jan;41(168):412–414. doi: 10.1002/bjs.18004116820. [DOI] [PubMed] [Google Scholar]
- Ristagno R. L., Kornstein M. J., Hansen-Flaschen J. H. Diagnosis of occult meat aspiration by fiberoptic bronchoscopy. Am J Med. 1986 Jan;80(1):154–156. doi: 10.1016/0002-9343(86)90069-0. [DOI] [PubMed] [Google Scholar]
- Wolkove N., Kreisman H., Cohen C., Frank H. Occult foreign-body aspiration in adults. JAMA. 1982 Sep 17;248(11):1350–1352. [PubMed] [Google Scholar]
- Yellin A., Tomer A., Zwas S. T., Hassin D., Lieberman Y., Bank H. An unusual case of empyema; intrapleural migration of an inhaled oat head in an adult. Thorac Cardiovasc Surg. 1983 Oct;31(5):317–319. doi: 10.1055/s-2007-1022006. [DOI] [PubMed] [Google Scholar]

