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Eur J Cardiothorac Surg 2005;27:1112
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

An unusual foreign body in the tracheobronchial tree

Manuela Iglesias*, Miquel Catalán, Albert Rodríguez, José Maria Gimferrer

Department of Thoracic Surgery, Hospital Clínico, Barcelona, Spain

Received 24 September 2004; received in revised form 28 January 2005; accepted 2 February 2005.

* Corresponding author. Address: Department of Thoracic Surgery, Hospital Clínico, C/Villarroel, 170, 08036 Barcelona, Spain. Tel.: +34 93 2275400; fax: +34 93 2279380. (E-mail: toracica{at}hotmail.com).

Key Words: Trachea • Foreign body • Airway obstruction • Therapeutic bronchoscopy

A 30-year-old male became dyspnoeic after swallowing a metallic hinge. X-ray showed a 11x0.4cm body in the tracheobronchial tree. At bronchoscopy it was found below the vocal chords obstructing the right main bronchus. The object was removed and tracheal inflammation and chordal oedema were seen. The patient was discharged at 24h after procedure without incidences (Fig. 1).



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  		Fig. 1. Chest X-ray showing the metallic foreign body in the trachea and origin of the right main bronchus.

 





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