Vegetable Foreign Body Research Articles

Statistical Study on Tracheo-bronchial Foreign Body Cases at Our Clinic in the Past 17 Years

Sixty-six cases of foreign body in bronchi which were seen in our Dept. for the past 17 years since 1946, were statistically analysed. Sex-ratio was double in the female as compared to the male. Vegetable foreign body cases were 60%. Metal foreign body cases and animal foreign body cases were recorded at 8% of 66 cases. 50% of vegetal foreign body cases were beans. Foreign body cases in bronchi are very few in adults as we had only 4 cases. Most of these cases were babies and infants (0-6 yrs. old) and school children (8-14 yer. old). Most of tht former cases were beans and the latter were pencil caps. They mis-inhaled them whilst playing or eating. Their chief complains were cough and dyspnea. Foreign bodies were found twice as many in the Rt. bronchus as in the Lt. bronchus. All of the foreign body cases were x-rayed and among them 5 cases of emphysema and 11 cases of athelectasis were found. 4 cases visited us directly but 53 cases were examined at our Dept. after they had some treatments by the other doctors. 51% out of the 66 cases were examined by us within 24 hours and 2 cases after 6 months.

Obstructive emphysema due to chronic inhaled foreign body in the bronchus

Chronic obstructive emphysema due to foreign body in the bronchus is extremely rare. A case is described of a vegetable foreign body in the right main bronchus of an infant of 13 months who had obstructive emphysema that was demonstrable on X-ray for three months. A ball-valve mechanism was found at bronchoscopy and the foreign body was removed by bronchotomy. Granulation tissue was absent. Interesting features are discussed and the causes of obstructive emphysema and transradiancy of part or the whole of the lung are briefly mentioned.

Foreign bodies in the bronchopulmonary tract

1. 1. From the pioneer work in foreign body problems by Chevalier Jackson, his contemporaries and students, has come a fundamental understanding of the pathologic physiology of bronchopulmonary disease. 2. 2. Foreign bodies must be considered in every differential diagnosis of bronchopulmonary disease. This is particularly true in those cases with an obscure etiology or in those cases in which response to treatment is not what experience has taught you to expect. 3. 3. The most important factor in the incidence of foreign bodies is carelessness on the part of the patient or the responsible adult. Children are the greatest offenders and should be carefully supervised in their eating habits and play. Vegetal foreign bodies are most commonly found. 4. 4. A positive history with negative physical examination and x-rays demands diagnostic bronchoscopy. The symptomless interval is misleading. 5. 5. Foreign body extraction should be carried out only after proper study and preparation, and with adequate instrumentarium and assistance unless asphyxia or fatality is imminent. 6. 6. The vast majority of foreign bodies can be removed successfully via peroral bronchoscopy with complete asymptomatic recovery.

Foreign bodies of vegetal origin in the air passages; the effect of antibiotics on the pathological and clinical picture.

THE PATHOLOGICAL changes which take place in the mucous membrane of the air passages in the presence of an exogenous foreign body are well known, thanks to Chevalier Jackson. These changes start early when the foreign body consists of vegetable matter, in contrast to the slower effects produced by most metallic foreign bodies. Swelling of the mucous membrane occurs first, and for a short time this does not interfere with the free interchange of air in both directions. With vegetal foreign bodies a check-valve mechanism forms early, which results in obstructive emphysema as a rule. Later, the swelling of the mucous membrane closes the by-passage, the residual air in the tributary area is absorbed, and obstructive atelectasis follows. Within a few weeks pus collects, and a condition of drowned results. If this state continues, an abscess of the lung may form. The above facts draw attention to the necessity

Pneumothorax as a complication of an intrabronchial vegetable foreign body; report of a case.

Pneumothorax as a complication of an intrabronchial vegetable foreign body; report of a case.

Bronchiectasis Following Aspiration of Timothy Grass

CHILDREN often aspirate vegetable foreign bodies into the tracheobronchial tree. Many varieties have been reported, including certain grasses. Because these are nonopaque to x-rays diagnosis may be long delayed. Our interest in the problem was aroused because of the incidental finding of timothy-grass heads (Phleum pratense) imbedded in the bronchi of lobes removed for suppuration and bronchiectasis of unknown cause (Fig. 1). Jackson and Jackson,1 in 1936, reported bronchoscopic removal of vegetable foreign bodies in 562 cases, of which 6 were timothy heads. The result in all 6 cases was reported as extraction, cure. In none, however, was . . .

VEGETABLE FOREIGN BODY IN THE LUNG FOR A MONTH: Successful Removal; Recovery Complicated by Measles

It is rare for vegetable material, such as peanuts, corn or beans, to remain in the lung of a young child for long without causing fatal bronchopneumonia. I am reporting a case in which such a foreign body remained in the right main bronchus for a month and was successfully removed. REPORT OF A CASE K. W., a baby aged 21 months, was given a corncob to play with; he suddenly choked and had a paroyxsm of coughing, becoming cyanotic for a while. The mother examined the corncob, to which a few kernels of corn were still attached, and saw that apparently a small piece of it was missing. She tried various measures to dislodge the substance, even to holding the child by the feet head downward, but was unsuccessful. The child continued to have paroxysms of coughing, especially on lying down. Fever developed, and the baby was irritable and

A VEGETABLE FOREIGN BODY ENCAPSULATED IN A VOCAL CORD: REPORT OF AN UNUSUAL CASE

It is uncommon for foreign bodies to be embedded in the vocal cords. Encapsulation of a vegetable foreign body in a vocal cord is rare. It is for this reason that the following case is reported. G. S., a white man of 40, was admitted to the Buffalo City Hospital on Feb. 2, 1932. He stated that about three years before he noticed that his voice was becoming hoarse. Since that time his hoarseness had undergone irregular periods of exacerbation and remission until one year previous to his admission, when it became constant and severe. He stated that during the year prior to admission he had on occasions felt gagged, and had found it necessary to whistle before he could speak. Past illnesses and other functional history were irrelevant to the present communication. It is interesting to note, however, that the senior medical student who recorded the patient's history but

CONTRIBUTION TO SYMPTOMATOLOGY OF FOREIGN BODIES IN THE AIR PASSAGES

I have made a comparison of statistics concerning the incidence of foreign bodies in the respiratory passages of patients in the old Russia, the Soviet Russia and Western Europe. The following series were used: (1) that of Preobraschensky,¹up to 1890, (2) that of Albrecht,²from 1911 to 1921, and (3) that of Chevalier Jackson.³Preobraschensky reported 702 cases. The foreign bodies in 119 cases were beans; in 103, bones; in 4, watermelon seeds; in 4, pumpkin seeds, and in 3, seeds of other melons. In 16 per cent the bodies were metallic. There was only one instance of a sunflower seed. In Albrecht's series there was a percentage rate of 40 for metallic bodies, 12 for bones, 12 for sunflower seeds, 6 for watermelon seeds, 4 for pumpkin seeds and 25 for beans. It is evident from these series that aspiration of vegetable foreign bodies is rare in Western

Two Cases of Vegetable Foreign Body in the Broncehus

Two Cases of Vegetable Foreign Body in the Broncehus