A Case of Massive Hemoptysis & Pneumonia Caused by Metallic Foreign Body

Choon Hee Chang; Jang Eun Lee; Hyung wook Park; Jeong hwa Lee; Seung Ah Yang; Young Kun Park; Sang Rok Lee; Jin Young An

doi:10.4046/trd.2006.61.06.567

Journal List > Tuberc Respir Dis > v.61(6) > 1001040

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Chang, Lee, Park, Lee, Yang, Park, Lee, and An: A Case of Massive Hemoptysis & Pneumonia Caused by Metallic Foreign Body

Original Article

Tuberc Respir Dis 2006;61(6):567-572.

Published online: 19 January 2006

DOI: https://doi.org/10.4046/trd.2006.61.06.567

A Case of Massive Hemoptysis & Pneumonia Caused by Metallic Foreign Body

Choon Hee Chang, M.D., Jang Eun Lee, M.D., Hyung wook Park, M.D., Jeong hwa Lee, M.D., Seung Ah Yang, M.D., Young Kun Park, M.D.¹, Sang Rok Lee, M.D.¹, Jin Young An, M.D.^1,

Department of Internal Medicine, The Catholic University of Korea

¹Department of Internal Medicine, Cheongju St. Mary's Hospital. Cheongju, Korea

Adress for Correspondence: Jin Young An, M.D. Department of Internal medicine, Cheongju St. Mary's Hospital, 589-5, Jujungdong, Sangdangku, Cheongju 360-568, Korea phone:043-219-8118 Fax:043-211-9030 E-mail: drahnjy@mdhouse.com

Received 23 August 2006 Accepted 9 October 2006

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endobronchial foreign bodies are difficult to diagnose as the cause of obstructive pneumonia and atelectasis, However, once discovered, they can generally be removed, leading to an immediate and dramatic resolution of the symptoms. Occasionally, small foreign bodies that lodge in the peripheral airway are often initially asymptomatic but become symptomatic several years later.

We reported a case of obstructive pneumonia and massive hemoptysis caused by a foreign metallic body. The patient knew that the foreign body was lodged in the peripheral airway on the chest X-ray, but did not want treatment. Several years later, he had a massive hemoptysis and obstructive pneumonia. Removal with a flexible bronchoscope failed, but the metallic foreign body was self-expectorated by coughing after the procedure. The pneumonia was resolved after removing the foreign body. The patient improved and was discharged without any sequela.

Keywords: Foreign body, Hemoptysis, Obstructive pneumonia.

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Figure 1.

Chest radiography in a 26-year-old man with hemoptysis and cough. A. The initial chest radiograph shows radio-opaque foreign body in left main bronchus(arrow) and pneumonia infiltration in left lower lung field. B. two days later, Chest X-ray shows nearly complete atelectasis of left lung except some upper lobe.

Figure 2.

Chest CT shows metallic foreign body(arrow,A) with nearly complete obstruction in left main bronchus (B).

Figure 3.

Bronchoscope shows foreign body covered with mucoid material obstructing left main bronchus.

Figure 4.

The photograph shows 6 x 8mm sized, rusty-colored, metallic material, which was expectorated with cough.

Figure 5.

Two weeks later. Chest X-ray shows disappearance of radio-opaque foreign body in left Main bronchus and nearly normalized findings.

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