Dual migration of organic foreign body in bronchus

Abstract

The foreign body in the bronchus is one of the most fatal emergencies in the Otorhinolaryngology. Delay in the appropriate treatment may result in acute airway diseases and fatal complications. The aim of this manuscript is to report a clinical case of dual migration of an organic foreign body from left to right and then back to the left bronchus in a 13 months old child. The case was initially diagnosed as left sided severe pneumonia which recurred after initial partial response to medical management and thus raised the suspicion of a foreign body. Computed tomography of the chest revealed a foreign body in the right bronchus contrary to clinical findings on the left side suggesting the first migration. The foreign body was visualized and removed from the left bronchus during bronchoscopy; which was contrary to radiological findings, suggesting the second migration.