Muller Journal of Medical Sciences and Research

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


Sat Pal Yadav, Bhushan Kathuria, Sharad Hernot, Jai Singh Malik 
 Department of Otolaryngology and Head and Neck Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India

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




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;7:87-88


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 Jun 25 ];7:87-88
Available from: https://www.mjmsr.net/text.asp?2016/7/1/87/174673


Full Text

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}

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}

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}

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

1Gupta IS, Sood VP. Foreign body in the air passage (spontaneous expulsion). Indian J Otolaryngol 1967;19:173-6.
2Yadav 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.
3Prasad R, Kant S, Verma SK. Spontaneous expulsion of foreign body from airway. J Indian Med Assoc 2008;106:316.
4Mital 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.