Publique en esta revista
Información de la revista
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Clinical Image
DOI: 10.1016/j.arbres.2019.08.007
Open Access
Disponible online el 29 de Octubre de 2019
A Case Report on a Patient With Spontaneous Expulsion of Large Foreign Body (Dental Prothesis) Without Complications
Un caso de expulsión espontánea de un cuerpo extraño grande (prótesis dental) sin complicaciones
Visitas
0
João Pedro Neiva Machado
Autor para correspondencia
joaoneivamachado@gmail.com

Corresponding author.
, José Coutinho Costa, Teresa Costa
Serviço de Pneumologia – Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
Este artículo ha recibido
0
Visitas

Under a Creative Commons license
Información del artículo
Texto completo
Bibliografía
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A 71-year-old man presents to the emergency department with a history of progressive worsening of cough and shortness of breath, with onset after an episode of vomiting due to alcohol intoxication, one month before. At the emergency department, multiple tests were ordered including complete blood count and blood chemistry, all within normal range (including C reactive protein) and a chest X-ray (Fig. 1a and b) that showed a foreign body (dental prothesis) lodged in the trachea/left main bronchus. The foreign body was not observed, the patient got discharged with an association of budesonide (160ug) and formoterol (4.5μg), twice a day, and sent to a pulmonology consultation for reassessment. One month later, during the pulmonology consultation, the patient describes an episode, 2 weeks before, of violent cough during his sleep, that ended up with him feeling a metal taste and finding the dental prothesis (Fig. 1c) inside is mouth. Chest X-ray performed on the day of the consultation confirmed the absence of the foreign body (Fig. 1d). Since then, the patient became asymptomatic and did not need any follow up. A foreign body, especially with sharped edges, is a dangerous and common medical emergency. Spontaneous expulsion of a foreign body of this nature is quite rare. The incidence of spontaneous expulsion is about 2–4% 1 and the endoscopical removal is the mainstay of treatment. Here we present a case that, despite the high risk of severe complications, successfully resolved without medical intervention.

Fig. 1.

(a) Postero-anterior view of chest X-ray showing the foreign body (prosthetic teeth – black arrow) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen. (b) Lateral view of chest X-ray showing the foreign body (prosthetic teeth – black arrow) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen. (c) Prosthetic teeth hold on hand for scale. (d) Lateral view of chest X-ray showing no foreign body (prosthetic) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen.

(0,14MB).
Reference
[1]
A.A. Jaiswal, A.K. Garg.
(2014) Spontaneous expulsion of foreign body (seewing machine needle) from right middle lobe bronchus – a rare case report.
J Clin Diagn Res, 8 (2014), pp. KD01-KD02
Copyright © 2019. The Authors
Idiomas
Archivos de Bronconeumología

Suscríbase a la newsletter

Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.