A Case of Significant Endobronchial Injury due to Recurrent Iron Pill Aspiration / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 440-444, 2015.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-149064
Biblioteca responsable:
WPRO
ABSTRACT
Gastric mucosal damage by iron pills is often reported. However, iron pill aspiration is uncommon. Oxidation of the impacted iron pill causes bronchial mucosal damage that progresses to chronic bronchial inflammation, necrosis, endobronchial stenosis and rarely, perforation. We reported a case of a 92-year-old woman with chronic productive cough and significant left-sided atelectasis. Bronchoscopy revealed substantial luminal narrowing with exudative inflammation of the left main bronchus. Bronchial washing cytology showed necroinflammatory exudate and a small amount of brown material. Mucosal biopsy showed diffuse brown pigments indicative of ferrous pigments, crystal deposition, and marked tissue degeneration. After vigorous coughing, she expectorated dark sediments and her symptoms and radiological abnormalities improved. There are a few such reports worldwide; however, this was the first case reported in Korea. Careful observation of aspiration-prone patients and early detection of iron pill aspiration may prevent iron pill-induced bronchial injury.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Fenobarbital
/
Atelectasia Pulmonar
/
Biopsia
/
Bronquios
/
Broncoscopía
/
Constricción Patológica
/
Tos
/
Exudados y Transudados
/
Inflamación
/
Hierro
Tipo de estudio:
Estudio de tamizaje
Límite:
Femenino
/
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Tuberculosis and Respiratory Diseases
Año:
2015
Tipo del documento:
Artículo