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LETTER TO EDITOR
Year : 2016  |  Volume : 7  |  Issue : 1  |  Page : 87-88

Spontaneous expulsion of vegetative foreign body (carrot piece) from the right main bronchus


Department of Otolaryngology and Head and Neck Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India

Date of Web Publication21-Jan-2016

Correspondence Address:
Bhushan Kathuria
Department of Otolaryngology and Head and Neck Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-9727.174673

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How to cite this article:
Yadav SP, Kathuria B, Hernot S, Malik JS. Spontaneous expulsion of vegetative foreign body (carrot piece) from the right main bronchus. Muller J Med Sci Res 2016;7:87-8

How to cite this URL:
Yadav SP, Kathuria B, Hernot S, Malik JS. Spontaneous expulsion of vegetative foreign body (carrot piece) from the right main bronchus. Muller J Med Sci Res [serial online] 2016 [cited 2022 May 27];7:87-8. Available from: https://www.mjmsr.net/text.asp?2016/7/1/87/174673

Dear Editor,

Worldwide experiences of spontaneous expulsion of foreign body bronchus is unimaginable and quite rare, which range between 2% and 4%. [1] Bronchial aspiration is a much rarer and potentially life-threatening complication, requiring immediate intervention for its extraction. [2],[3]

The authors present the case of a 3-year-old female presented to the emergency department at midnight with a history of breathing difficulty, weak cry, and intermittent choking spell for last 3 h. She was brought by her parents who told that she developed respiratory difficulty while eating after an episode of vomiting. On examination, the baby was found to be tachypnoeic and restless. She was found to have stridor, wheeze, and decreased air entry with conductive sounds on the right side of chest. On the basis of history and physical examination, foreign body aspiration was suspected and a chest x-ray posteroanterior view was done, which revealed hyperinflation of the right lung [Figure 1], therapeutic bronchoscopy under general anesthesia was planned for the next day morning.
Figure 1: X-ray chest showing hyperinfl ation of the right lung

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Next day morning, before the patient was taken to operation theatre, she had a severe bout of cough and expelled the foreign body carrot piece spontaneously. The foreign body measured 1 cm × 0.7 cm × 0.3 cm in size and was swollen and soften [Figure 2].
Figure 2: Spontaneously expelled foreign body (carrot piece) measuring 1 cm × 0.7 cm × 0.3 cm

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On auscultation of chest air entry had markedly improved on right side. Thereafter, the patient had an uneventful recovery. The repeat x-ray chest done after 6 h revealed a reversal of radiological changes on the right lung [Figure 3].
Figure 3: X-ray chest showing reversal of radiological changes of the right lung, 6 h after the spontaneous expulsion

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It is unwise and dangerous and unadvisable to wait for spontaneous expulsion in case of vegetative foreign body from the bronchus but while preparing for endoscopy, a constant watch should be kept over the patient, and every forceful bout of cough should be looked with suspicion of spontaneous expulsion [3],[4] and a danger of foreign body lodgement into the subglottis during such rare but possible occurrence should be kept in mind.

Financial Support and Sponsorship

Nil.

Conflicts of Interest

There are no conflicts of interest.

 
  References Top

1.
Gupta IS, Sood VP. Foreign body in the air passage (spontaneous expulsion). Indian J Otolaryngol 1967;19:173-6.  Back to cited text no. 1
    
2.
Yadav SP, Wig U, Raj B, Chawla RK, Yadav J. Unusual foreign body in air ways. Indian J Chest Dis Allied Sci 1987;29:41-3.  Back to cited text no. 2
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3.
Prasad R, Kant S, Verma SK. Spontaneous expulsion of foreign body from airway. J Indian Med Assoc 2008;106:316.  Back to cited text no. 3
    
4.
Mital OP, Prasad R, Singhal SK, Malika A, Singh PN. Spontaneous expulsion of a long standing endobronchial metallic foreign body. Indian J Chest Dis Allied Sci 1979;21:45-7.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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