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<p>Foreign body (FB) aspiration is a relatively common phenomenon in young children, necessitating prompt intervention and retrieval. These incidents are frequently unwitnessed, potentially delaying diagnosis and leading to complications. In this report, a non-contrast chest computed tomography (CT) scan demonstrated a rare case of an aspirated FB extending from the lung bronchus and parenchyma to the spleen, despite no evidence of FB during flexible bronchoscopy. A FB diagnosis was suspected and subsequently confirmed intraoperatively during surgery. This case highlights the potential for aspirated foreign bodies to dislodge from the tracheo-bronchial tree and impact the lung parenchyma, emphasizing the enhanced diagnostic value of CT in complex cases where bronchoscopy findings are inconclusive.</p>

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CASE REPORT: An Unusual Journey from the Bronchi to the Spleen Through the Lung from the Bronchi to the Spleen Through the Lung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月19日

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  • Mouhamad Egbaria,
  • Mika Shapira Rootman,
  • Ronen bar-Yoseph,
  • Ludmila Guralnik,
  • Anat Ilivitzki

摘要

Foreign body (FB) aspiration is a relatively common phenomenon in young children, necessitating prompt intervention and retrieval. These incidents are frequently unwitnessed, potentially delaying diagnosis and leading to complications. In this report, a non-contrast chest computed tomography (CT) scan demonstrated a rare case of an aspirated FB extending from the lung bronchus and parenchyma to the spleen, despite no evidence of FB during flexible bronchoscopy. A FB diagnosis was suspected and subsequently confirmed intraoperatively during surgery. This case highlights the potential for aspirated foreign bodies to dislodge from the tracheo-bronchial tree and impact the lung parenchyma, emphasizing the enhanced diagnostic value of CT in complex cases where bronchoscopy findings are inconclusive.