Surgical Treatment of Chicken Bone Aspiration in the Chronic Period

Abstract

Although foreign body aspiration is rare in adults, it is seen in all age groups. It is life threatening and causes death, especially in children. It is mostly removed by bronchoscopic interventions in early cases. It causes complications like recurrent pneumonia, pneumothorax, empyema, abscess, and bronchiectasis in patients with delayed diagnosis. Our case is a 58-year-old male patient who presented with a complaint of a cough that did not pass for months, with delayed diagnosis of foreign body aspiration (chicken bone). The foreign body could be unseen due to granulation tissue with rigid and flexible bronchoscope in the patient who applied with pneumothorax complication.Foreign body that cannot be removed by non-surgical method, with lateral thoracotomy, a piece of bone deeply located in the apical of the right lung with a consolidated circumference of approximately 1 cm was removed by wedge resection. As a result, detailed anamnesis has a very important place in foreign body aspiration. While most of the foreign body aspiration detected in the early period can be removed by bronchoscopy, most of the patients diagnosed late require surgical treatment.