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Article
April 28, 1917

FOREIGN BODY (BONE FRAGMENTS) IN THE BRONCHUS: TWO CASES TREATED EXPECTANTLY

Author Affiliations

Assistant Superintendent and Physician, North Reading (Mass.) State Sanatorium; Instructor in Pulmonary Diseases, Tufts College Medical School NORTH WILMINGTON, MASS.

JAMA. 1917;LXVIII(17):1235-1236. doi:10.1001/jama.1917.04270040223007
Abstract

The aspiration of a foreign body into the bronchus is by no means a rare occurrence. The two cases reported herewith could not be called extraordinary instances. But the value of the experience lay in the failure to give due credit to the suspicion that a foreign body in the bronchus might be responsible for the intense disease reaction which subsequently arose in the lung.

Each patient, an adult, inspired a piece of bone into a branchof the right bronchus. Secondary lung processes were well developed before the patients were seen at the sanatorium. They were both treated expectantly with varying diagnoses until the bone fragments were spontaneously expelled. Then, with rapid recovery taking place, the diagnoses for the first time became clear.

What might have been done is speculative; but a discussion of the possibilities, anticipating similar future experience, seems worth while because the expectant treatment as carried out

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