Korean J Fam Pract 2019; 9(5): 475-478  https://doi.org/10.21215/kjfp.2019.9.5.475
A Case Report of Spontaneous Passage of Bronchial Foreign Body through Gastrointestinal Tract
Ki Hong Hong, Hee Youn Han, Jin Sung Jung, You Sun Kang, Hee Cheol Kang*
Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
Hee Cheol Kang
Tel: +82-2-2228-2332, Fax: +82-2-362-2473
E-mail: kanghc@yuhs.ac
ORCID: http://orcid.org/0000-0002-0309-7448
Ki Hong Hong and Hee Youn Han contributed equally to this study.
Received: August 10, 2018; Revised: July 27, 2019; Accepted: August 30, 2019; Published online: October 20, 2019.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Foreign body aspiration is most likely to occur in children and in adults aged above 60 years, causing a respiratory emergency, such as airway closure. It is diagnosed based on a history of aspiration, presenting symptoms, and radiographic findings. The treatment may include removal of the foreign body via bronchoscopy or surgery. Here, we report a rare case of bronchial aspiration of a foreign body, confirmed with clinical and radiographic examinations, in a 57-year-old patient. The patient was transferred for treatment; however, spontaneous passage of the foreign body to the gastrointestinal tract led to its removal from the bronchus.
Keywords: Respiratory Aspiration; Foreign Body; Gastrointestinal Tract; Passage
  1. Zubairi AB, Haque AS, Husain SJ, Khan JA. Foreign body aspiration in adults. Singapore Med J 2006; 47: 415-8.
  2. Iqbal I, Lateef M, Wani AA, Rafiq S. A rare case of foreign body bronchus: a case report. Indian J Otolaryngol Head Neck Surg 2011; 63(Suppl 1): 81-2.
    Pubmed KoreaMed CrossRef
  3. Qureshi A, Behzadi A. Foreign-body aspiration in an adult. Can J Surg 2008; 51: E69-70.
    Pubmed KoreaMed
  4. Bain A, Barthos A, Hoffstein V, Batt J. Foreign-body aspiration in the adult: presentation and management. Can Respir J 2013; 20: e98-9.
    Pubmed KoreaMed CrossRef
  5. Killian G. Meeting of the society of physicians of freiburg. Dec 17, 1897. Muchen Med Wschr 1898; 45: 378.
  6. Lim JH, Lee SY, Ryu YJ, Hah JH. A case of tracheal foreign body removed by endoscopic approach with tracheotomy. Korean J Otorhinolaryngol-Head Neck Surg 2014; 57: 723-6.
  7. Metrangelo S, Monetti C, Meneghini L, Zadra N, Giusti F. Eight years' experience with foreign-body aspiration in children: what is really important for a timely diagnosis? J Pediatr Surg 1999; 34: 1229-31.
    Pubmed CrossRef
  8. Dhanasekar T, Rajendran A, Rao KU, Thomas PK. Usual and unusual case of foreign body in the bronchus. Int J Med Public Health 2011; 1: 37-40.
  9. Marks SC, Marsh BR, Dudgeon DL. Indications for open surgical removal of airway foreign bodies. Ann Otol Rhinol Laryngol 1993; 102: 690-4.
    Pubmed CrossRef

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