A Case of Significant Endobronchial Injury due to Recurrent Iron Pill Aspiration / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 440-444, 2015.
Article
em En
| WPRIM
| ID: wpr-149064
Biblioteca responsável:
WPRO
ABSTRACT
Gastric mucosal damage by iron pills is often reported. However, iron pill aspiration is uncommon. Oxidation of the impacted iron pill causes bronchial mucosal damage that progresses to chronic bronchial inflammation, necrosis, endobronchial stenosis and rarely, perforation. We reported a case of a 92-year-old woman with chronic productive cough and significant left-sided atelectasis. Bronchoscopy revealed substantial luminal narrowing with exudative inflammation of the left main bronchus. Bronchial washing cytology showed necroinflammatory exudate and a small amount of brown material. Mucosal biopsy showed diffuse brown pigments indicative of ferrous pigments, crystal deposition, and marked tissue degeneration. After vigorous coughing, she expectorated dark sediments and her symptoms and radiological abnormalities improved. There are a few such reports worldwide; however, this was the first case reported in Korea. Careful observation of aspiration-prone patients and early detection of iron pill aspiration may prevent iron pill-induced bronchial injury.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Fenobarbital
/
Atelectasia Pulmonar
/
Biópsia
/
Brônquios
/
Broncoscopia
/
Constrição Patológica
/
Tosse
/
Exsudatos e Transudatos
/
Inflamação
/
Ferro
Tipo de estudo:
Screening_studies
Limite:
Female
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2015
Tipo de documento:
Article