Inhaled foreign body

Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semisolid object may lodge in the larynx or trachea. If the object is large enough to cause nearly complete obstruction of the airway, asphyxia may rapidly cause death. Lesser degrees of obstruction or passage of the obstructive object beyond the carina can result in less severe signs and symptoms.

Chronic debilitating symptoms with recurrent infections might occur with delayed extraction, or the patient may remain asymptomatic. The actual aspiration event can usually be identified, although it is often not immediately appreciated. The aspirated object might even escape detection. Most often, the aspirated object is food, but a broad spectrum of aspirated items has been documented over the years. Commonly retrieved objects include seeds, nuts, bone fragments, nails, small toys, coins, pins, medical instrument fragments, and dental appliances. (from emedicine)


image from Lifeinthefastlane.com (link)

Case Summary:

27-year-old lady presented with persistent cough, sputum and fever for the preceding six months. Inspite of trials with antibiotics and anti-tuberculosis treatment for the preceeding four months, her symptoms did not improve.

A subsequent chest radiograph showed non-homogeneous collapse-consolidation of right upper lobe.

Videobronchoscopy revealed an inverted bag like structure in right upper lobe bronchus and rigid bronchoscopic removal with biopsy forceps confirmed the presence of a condom.

Detailed retrospective history also confirmed accidental inhalation of the condom during fellatio.

Reference:

Arya CL, Gupta R, Arora VK. Accidental condom inhalation. Indian J Chest Dis Allied Sci. 2004 Jan-Mar;46(1):55-8. [PMID: 14870871][PDF]

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