Migration of a Foreign Body from Right to Left Lung

Abstract

We present an unusual case of an aspirated foreign body which migrated from right to left lung in a child with six week history of cough and wheezing. A chest radiogram, done revealed findings suggestive of a foreign body in the right lung. However, a microlaryngoscopy and bronchoscopy done in the operating room under general anesthesia actually revealed a peanut piece wedged in the distal bronchus of the left lung. Misdiagnosis of an aspirated FB can have serious implication and may complicate the clinical presentation. In addition to imaging studies, bronchoscopy is needed to confirm, retrieve or exclude the presence of a foreign body.