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2012, Number 3

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Rev Med Inst Mex Seguro Soc 2012; 50 (3)

Presence of a foreing alive body in the left bronchus. A case report

Carmona-Delgado VM, Hinojosa-Pérez A, Castillo-López L
Full text How to cite this article

Language: Spanish
References: 6
Page: 331-333
PDF size: 23.49 Kb.


Key words:

foreign body alive, bronchoscopy, respiratory insufficiency.

ABSTRACT

Background: approximately 60 % of the foreign bodies accidentally go to the digestive system, mainly to the esophagus, the others going to the airway.
Clinical case: a male patient, 18 years old, fisherman in who a fish was introduced into airways. A direct laryngoscopy was performed watching the foreign body. The patient presented severe respiratory failure symptoms. He was admitted to hospital where respiratory support with positive pressure ventilation was started. Forty eight hours after hospital admission and the onset of the symptoms, he was founded unconscious, with piping, subcutaneous emphysema in face, neck, and thorax; A bronchoscopy was performed. A foreign body left bronchus was observed and identified as a fish, proceeding to the withdrawal that stayed between the carina and observing material in decomposition, severe inflammatory process and great quantities of purulent secretions.
Conclusions: it was a foreign alive body (fish) that could withdrawal.


REFERENCES

  1. Sauret J. Cuerpos extraños Arch Bronconeumol 2002;38 (6):285-287. Disponible en http://www. archbronconeumol. org/watermark/ctl_servlet?_f=10&pident_articulo= 13032783&pident_usuario=0&pident_revista=6&fichero= 6v38n06a13032783pdf001.pdf&ty=18&accion=L&origen= abn&web=www.archbronconeumol.org&lan=es

  2. Echandia C. Aspiración de cuerpo extraño. Colombia Med 1995;26:21-26.

  3. Ospina GJ. Cuerpos extraños en el tracto aerodigestivo infantil. El papel del otorrinolaringólogo pediatra. Acta Otorrinolaringol Cir Cabeza Cuello 2005;33(2):36-47.

  4. Montero-Cantú A, Garduño-Chávez B. Broncoscopia rígida y cuerpo extraño, ¿procedimiento obsoleto? Cir Cir 2006;74(1):51-5. Disponible en http://redalyc.uaemex.mx/ redalyc/html/662/66274110/66274110.html

  5. Macías-Domínguez P. La aspiración de cuerpos extraños en niños Experiencia de un cirujano pediatra en la ciudad de Durango, Dgo., México. Cirugía 1996;5(2-3):69-72.

  6. Jave J, Miranda W. Piedra como cuerpo extraño en bronquio derecho. Enf Torax 2001;44(2). Disponible en http:// sisbib.unmsm.edu.pe/BvRevistas/enfermedades_torax/ v44_n2/piedra.htm.




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C?MO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2012;50