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March 1969

Unusual Bronchial Foreign Body

Author Affiliations

USA, Honolulu

From the General Surgery Service, Department of Surgery, US Army Tripler General Hospital, Honolulu.

Arch Otolaryngol. 1969;89(3):540-541. doi:10.1001/archotol.1969.00770020542018

FOREIGN BODIES in the trachea and larynx are generally not as common as foreign bodies in the lower air passages. Aspiration is the most common cause and this happens by carelessness in holding objects in the mouth other than food. With upper air passage foreign bodies, clinical symptomatology is usually present. In the lower air passages, the only symptomatology might be that of radiographic changes. At times, we as physicians are responsible for a foreign body getting into the lower bronchial tree. A case of an iatrogenic foreign body in the right main stem bronchus is presented.

Report of a Case  On Feb 22, 1967, a 44-year-old Oriental man with a history of paranoid schizophrenia stabbed himself in the larynx, trachea, and left chest. He was brought to an Army hospital in Japan where he was found to have massive subcutaneous emphysema and a sucking wound of the left chest.

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