PDF(Pubmed)
Abstract：
Children and older adults are prone to unintentional foreign body aspiration. A 69-year-old man with fever and anorexia presented with obstructive pneumonia resulting from foreign body aspiration. Attempts to remove the foreign body using a bronchoscope failed due to its adhesion to the periphery of the bronchus. Although antibiotic therapy did not improve the obstructive pneumonia caused by the bronchial foreign body, surgery enabled an improvement. The surgical specimen showed similar pathological findings as the fine brown granular material observed in root granulomas occurring as a complication following leakage of root canal filling used in the treatment of dental caries. Therefore, the bronchial foreign body may have been a dental filling. Case reports describing surgical improvement of difficult-to-remove bronchial foreign bodies with concurrent infection are rare.
摘要：
儿童和老年人容易发生无意的异物吸入。一名69岁的发烧和厌食症男子因异物吸入而出现阻塞性肺炎。使用支气管镜去除异物的尝试由于其与支气管周围的粘附而失败。虽然抗生素治疗并不能改善支气管异物引起的阻塞性肺炎,手术带来了改善。手术标本显示出与在根肉芽肿中观察到的细棕色颗粒材料相似的病理发现，这是用于治疗龋齿的根管充填物渗漏后的并发症。因此,支气管异物可能是牙齿填充物。很少有病例报告描述难以清除的支气管异物并发感染的手术改善。
