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Foreign-body aspiration in an adult.(Case Note/Note de cas)(Case study)

Publication: Canadian Journal of Surgery

Publication Date: 01-JUN-08

Author: Qureshi, Alia ; Behzadi, Abdollah
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COPYRIGHT 2008 Canadian Medical Association

Foreign-body aspiration is often a serious medical condition demanding timely recognition and prompt action. (1) Delayed diagnosis and subsequent delayed treatment is associated with serious, and sometimes fatal complications. (1,2) In adults, however, foreign-body aspiration can be tolerated and remain undetected for a long time. We describe a case in which there was delayed and seemingly innocuous presentation after aspiration of a large foreign body.

Case report

A 33-year-old man presented with a 1-week history of intermittent minor hemoptysis. On questioning, he admitted to swallowing a foreign body 2 months earlier. His action was inspired by a television show on swallowing foreign bodies. He had tried to swallow a knife blade, after breaking the handle, which was then accidentally aspirated. He immediately suffered a severe choking sensation that eventually resolved. He continued to experience episodes...

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