J Dent Anesth Pain Med.  2018 Aug;18(4):267-270. 10.17245/jdapm.2018.18.4.267.

Migrating foreign body in an adult bronchus: An aspirated denture

Affiliations
  • 1Department of Anaesthesiology, Tata Main Hospital, Jamshedpur, India.
  • 2Department of Anaesthesiology, AIIMS Patna, Patna, India. nishantsahay@gmail.com

Abstract

As a safety measure, dentures are routinely removed before surgery. Aspiration of a denture could be catastrophic, with medicolegal implications. Foreign body aspiration is uncommon in adults; however, aspirations may remain asymptomatic and undiagnosed for long periods of time. We report an adult male who presented with a cough for more than 6 months. On radiography, a foreign body was found migrating within the tracheobronchial tree from one mainstem bronchus to the other, at different time points. The foreign body was later found to be a portion of his denture. The aspiration may have occurred at the time of a surgical procedure.

Keyword

Airway management; Bronchoscopy; Dentures

MeSH Terms

Adult*
Airway Management
Aspirations (Psychology)
Bronchi*
Bronchoscopy
Cough
Dentures*
Foreign Bodies*
Humans
Male
Radiography
Trees

Figure

  • Fig. 1 Chest radiograph posteroanterior view shows a foreign body in the left main bronchus.

  • Fig. 2 Chest radiograph posteroanterior view shows the foreign body to have migrated from the left main bronchus to the right main bronchus.

  • Fig. 3 The denture measured after extraction was found to be about 3 cm wide.


Cited by  1 articles

Impacted dental bridge in the esophagus following general anesthesia: A case report
Jeong-Heon Park, Jaegyok Song, Chaemin Cho
J Dent Anesth Pain Med. 2019;19(2):111-114.    doi: 10.17245/jdapm.2019.19.2.111.


Reference

1. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol. 1946; 52:191–205.
Article
2. Lan RS. Non-asphyxiating tracheobronchial foreign bodies in adults. Eur Respir J. 1994; 7:510–514.
Article
3. Jamshed N, Madan K, Ekka M, Guleria R. Successful flexible bronchoscopic management of a large-sized aspirated partial denture. BMJ Case Rep. 2014; 2014:bcr2013202371.
Article
4. Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. Eur Radiol. 2001; 11:606–611.
Article
5. Lee JH, Lee JH, Shim JO, Lee JH, Eun B-L, Yoo KH. Foreign Body Ingestion in Children: Should Button Batteries in the Stomach Be Urgently Removed. Pediatr Gastroenterol Hepatol Nutr. 2016; 19:20–28.
Article
6. Rafanan AL, Mehta AC. Adult airway foreign body removal. What's new? Clin Chest Med. 2001; 22:319–330.
7. Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. Eur Radiol. 2001; 11:606–611.
Article
8. Mayr J, Dittrich S, Triebl K. A new method for removal of metallic-ferromagnetic foreign bodies from the tracheobronchial tree. Pediatr Surg Int. 1997; 12:461.
Article
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