[A case of severe bronchial mucosal injury caused by iron pill aspiration].

An 84-year-old woman was referred to our hospital with fever and dyspnea. Her arterial oxygen partial pressure was 48.3 Torr. Chest computed tomography (CT) showed a foreign body incarcerated in the right truncus intermedius. Bronchoscopy revealed the incarceration of a dark red foreign body with an elliptical shape in the right truncus intermedius, and bronchoscopic removal was performed. The foreign body was an iron pill. Steroids were administered to prevent local inflammation and granulation of the bronchial mucosa. She recovered and was discharged on day 15. A patient with severe bronchial mucosal injury caused by iron pill aspiration was successfully treated by bronchoscopic removal.

[Successful treatment of a primary racemose hemangioma using ligation and transection of the bronchial artery decided on the basis of the intra-operative arterial pressure].

An 80-year-old woman presented with hemoptysis. Fiberoptic bronchoscopy revealed a blue, non-pulsatile, polypoid lesion at the orifice of the left upper division bronchus. Bronchial arteriography demonstrated convolution, dilatation, and pooling of contrast material in the left upper lobe. Since the bronchial arterial pressure decreased to the predicted pulmonary artery pressure after transient interruption between the aorta and proximal bronchial artery, the racemose hemangioma was presumed to be supplied mainly from the bronchial artery. She underwent ligation and transaction of the left bronchial artery, and had no further hemoptysis. Measurement of the bronchial arterial pressure is important for determining how to treat racemose hemangioma.