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A Case of Significant Endobronchial Injury due to Recurrent Iron Pill Aspiration.

Title
A Case of Significant Endobronchial Injury due to Recurrent Iron Pill Aspiration.
Author
김태형
Keywords
Iron; Pulmonary Atelectasis
Issue Date
2015-10
Publisher
Korean National Tuberculosis Association
Citation
Tuberculosis and Respiratory Diseases, v. 78, NO 4, Page. 440-444
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.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4046/trd.2015.78.4.440http://hdl.handle.net/20.500.11754/28241
ISSN
1738-3536; 2005-6184
DOI
10.4046/trd.2015.78.4.440
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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