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Indian Journal of Otolaryngology and Head & Neck Surgery logoLink to Indian Journal of Otolaryngology and Head & Neck Surgery
. 2005 Oct;57(4):335–337. doi: 10.1007/BF02907705

An overlooked bronchial foreign body in adult

P D Vithalani 1,, H Maniyar 1
PMCID: PMC3451454  PMID: 23120212

Abstract

A long-standing undiagnosed foreign body in bronchus in adult is very rare case. A 42 years old man with complain of chronic cough with expectoration and fever since 3 years was treated medically including a complete course of AKT for 6 months without improvement in the patient's condition. On taking detailed history, it was revealed that patient had swallowed or aspirated a denture before 3 years, which was overlooked by the treating clinicians. As denture is radiolucent foreign body it remained undiagnosed in X-ray chest for 3 years. It was visualized on flexible bronchoscopy and removed with rigid bronchoscopy. The patient got relieved from symptoms within a week. So presence of chronic cough. wheezing and fever without reduced air entry and without obstructive finding in X-ray chest, should indicate the need for diagnostic bronchoscopy. Also adult patients of recurrent lower respiratory symptoms in spite of satisfactory medical treatment must be submitted for diagnostic bronchoscopy.

Key Words: Adult age group, an overlooked bronchial foreign body

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