Bronchial web due to delayed foreign body aspiration

Ali Yeğinsu; Serhat Çelikel; Handan İnönü; Makbule Ergin

Ali Yeğinsu¹, Serhat Çelikel², Handan İnönü², Makbule Ergin¹

¹Gaziosmanpaşa Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, Tokat
²Gaziosmanpaşa Üniversitesi Tıp Fakültesi Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı, Tokat

A 17-year-old boy who aspirated a pencil-cap six years ago, was referred to our hospital. At bronchoscopy, left main bronchus was almost completely obstructed by a membranous tissue at 2 cm distal to the carina. A bronchotomy to the left main broncus via left lateral thoracotomy was performed, the web was excised, and the pencil-cap was removed. One year after, the bronchus was partially reocclused by adhesion of the excised web which was revealed at bronchoscopic reevaluation. The adhered part was separated by a forceps at rigid bronchoscopy. The bronchus was completely patent and the patient was uneventful after one year.

Keywords : Foreign body; aspiration; airway; web; thoracotomy

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