AIRWAY FOREIGN DENTURE скачать в хорошем качестве

AIRWAY FOREIGN DENTURE

A NON RESOLVING LUNG ABSCESS - DENTURE ASPIRATION: A 65 year male, active smoker, was referred to our centre for evaluation of a non resolving lung abscess. He presented with two months history of fever, cough and weight loss. Sputum examination was inconclusive. HRCT chest performed outside showed a thick walled cavity in the right lower lobe. Careful reinspection of CT films showed an intra luminal density in the lumen of right main bronchus. A possibility of malignancy versus foreign body was considered. Bronchoscopy was performed which showed thick purulent secretions in the right main bronchus. After clearing the secretions, an object was identified in the right main bronchus causing near complete occlusion of the right intermediate bronchus. Rigid bronchoscopy was then used as a conduit. Using a 1.9mm cryoprobe the object was dislodged into the trachea. Then, using a rigid forceps, the object was removed. It was identified to be a denture. Following removal of the object, his fever resolved. He is continued on antibiotics and is under follow up. Final Dx: DENTURE ASPIRATION LEADING TO LUNG ABSCESS Take home messages: 1. Always inspect the airways on CT chest in cases of non resolving pneumonia to identify any proximal endo-bronchial obstruction. 2. Removal of endo bronchial obstruction is needed for recovery of distal post obstructive pneumonia.