Tuberc Respir Dis.  2008 Jun;64(6):456-459.

A Case of Radiolucent Foreign Body (Temporary Resin Bridge) Aspiration Accompanied by Inflammatory Polyps

• Moon SK
• Lee JM
• Jeong HB
• Song JY
• Kim SK
• Lee SH
• Yoon HK
• Lee SY
• Kim SC
• Moon HS

Abstract

This case demonstrates the rare occurrence of a radiolucent temporary resin bridge aspiration in adults while they are in a conscious and awaken state and the resultant formation of inflammatory polyps. Although no unique findings were noted in a chest x-ray, careful history taking accompanied by physical examinations can lead to clinical suspicion of foreign body aspiration in an earlier stage. Moreover, flexible bronchoscopy is a tool useful not only for the evaluation process but also for managing the aspirated foreign material.

Keyword

Respiratory aspiration; Synthetic resins; Denture; Polyps

MeSH Terms

Adult
Bronchoscopy
Dentures
Foreign Bodies
Humans
Physical Examination
Polyps
Resins, Synthetic
Respiratory Aspiration
Thorax
Resins, Synthetic

Figure

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  Figure 1 Initial chest X-ray shows no definite abnormalities (A). Chest CT shows focal wall thickening and linear high density in the lumen of right bronchus intermedius (B). After removal of the foreign body, CT was performed with the bronchial foreign body wrapped with gauze. In this CT, the foreign body is of high density (C).

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  Figure 2 Flexible fiberoptic bronchoscopy, demonstrating a white-yellowish foreign material in the right bronchus intermedius (A). After removal of a foreign material, multiple polypoid endobronchial masses were observed distal to the impacted site (B). Follow up bronchoscopy performed two months later shows mild mucosal elevations with hyperemic changes (C).

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  Figure 3 Foreign body removed by flexible fiberoptic bronchoscopy, was revealed to be a temporary resin bridge.

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  Figure 4 Biopsy specimen of polypoid mass shows scquamous metaplasia with focal dysplastic changes, granulation tissue formation, and inflammatory cell infiltration (H&E stain, A, ×40, B, ×400).

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