PDF(Pubmed)
Abstract：
Although airway foreign body aspiration (FBA) is a common occurrence in any age group, unrecognized and retained foreign bodies in lungs may result in severe complications, such as lung abscess or bronchiectasis. In rare cases, FBA may present with similar clinical features as many other diseases (e.g. asthma, tumor, pulmonary eosinophilia). Here, we report a rare case of missed FBA in a nine-year-old boy, whose chest CT scan was suggestive of a cavitary lesion in the left lower lobe mimicking congenital pulmonary airway malformation (CPAM). However, surprisingly, flexible bronchoscopy revealed a peanut lodged in the lateral basal segment of left lower lobe, which was subsequently retrieved by a forceps and avoided unnecessary surgical lobectomy. Therefore, FBA can mimic other disorders (e.g. CPAM), and a high index of suspicion and additional diagnostic techniques (e.g. flexible bronchoscopy) may be required to distinguish them. Additionally, FBA should be considered in the differential diagnosis of respiratory disorders in children even lack of aspiration history.
摘要：
尽管气道异物吸入（FBA）在任何年龄段都很常见，肺部未识别和保留的异物可能导致严重的并发症，如肺脓肿或支气管扩张。在极少数情况下,FBA可能与许多其他疾病（例如哮喘，肿瘤，肺嗜酸性粒细胞增多)。这里,我们报道了一个罕见的9岁男孩错过FBA的病例，其胸部CT扫描提示左下叶有空洞性病变，模仿先天性肺气道畸形（CPAM）。然而,令人惊讶的是,柔性支气管镜检查发现花生滞留在左下叶的外侧基底段，随后由镊子取回，避免了不必要的手术肺叶切除术。因此,FBA可以模仿其他疾病（例如CPAM），并且可能需要高度怀疑和额外的诊断技术(例如柔性支气管镜)来区分它们。此外,在儿童呼吸道疾病的鉴别诊断中，即使没有误吸史，也应考虑FBA。
