Foreign body aspiration in a ۶۰-year-old man: A case report

Foreign body aspiration occurs throughout the world and can manifest in various forms. This medical condition can occasionally take place with no symptoms or without any acute symptoms. Diagnosis and treatment of this disease require the full recognition of the associated symptoms in the patient. Misdiagnosis or delayed diagnosis in these patients is associated with significant risks and complications. We describe a ۶۰-year-old man presented with dyspnea caused by the aspiration of a door hinge swallowed in a suicide attempt. The patient had a history of psychosis. After patient hospitalization and implementation of imaging procedures, an object was detected in the left bronchus. The aspirated foreign body can be removed in ۹۸% of the cases; however, in case of failure, the patients should be subjected to thoracotomy. Tracheostomy may occur if the foreign body is larger than the subglottic region. Steroids and antibiotics are not routinely required before bronchoscopy; however, they are administered if observing a severe inflammation or airway infection. The patient can be discharged from the hospital on the same day in case of not having acute emergency problems or complications, such as pneumonia, pulmonary abscess, and persistent hypoxia.

Keywords:

Aspiration , Foreign body , Iran