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Tuberc Respir Dis > Volume 40(4); 1993 > Article
Case Reports
Tuberculosis and Respiratory Diseases 1993;40(4):442-448.
DOI: https://doi.org/10.4046/trd.1993.40.4.442    Published online August 1, 1993.
A case of bronchial obstruction due to occult aspiration of a tooth.
Jung Hyun Chang1, Se Kyu Kim1, Kyung Young Chung2, Dong Won Min3, Dong Hwan Shin3, Hong Leoyl Lee1, Sung Kyu Kim1, Won Young Lee1
1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea
3Department of Pathology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Foreign body aspiration, although not an uncommon problem in children, is unusual in adults and is overlooked as a cause airway obstruction. Small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and can result in respiratory symptoms several years later Especially in the cases of otherwise healthy subjects, even though manifested oveπ respiratory symptoms, diagnosis can be delayed due to lack of history of aspiration or unnoticed aspiration. A 57-year-old male was admitted to Yonsei University College of Medicine Severance hospital due to left upper chest pain for five months. On the past history he had been diagnosed as bronchiectasis about 20 years ago . He showed radiologically bead-like bronchostenosis and a calcific density protruding into the lumen of left upper lobar bronchus. Bronchoscopically broncholith was revealed with the finding of endobronchial obstruction of each upper and lingular division of left upper lobar bronchus due to mucoid impaction and surrounding inflammed bronchial mucosa. The preoperative diagnosis was broncholithiasis due to chronic inflammatory process. Lung perfusion scan shows absence of perfusion in left upper lobe. So left upper lobectomy was performed. But from the pathologic specimen an incisor tooth was emerged. Later a history of tooth extraction thirty years ago at de!ltal clinic was found. We report a case of bronchial obstruction due to occult aspiration of a tooth with a review of the literatures.
Key Words: Foreign body, Aspiration, Tooth
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