TB Research

A Case of Bronchial T-tube Foreign Body

Hiroaki Iijima, Kenji Okami, Akihiro Sakai, Takanobu Teramura, Aritomo Yamazaki, Toshihide Inagi, Koji Ebisumoto

Practica Oto-Rhino-Laryngologica · 2023-01

Abstract

Airway foreign bodies may cause recurrent pneumonia and atelectasis, which could be fatal; therefore, early diagnosis and removal are important. We report the case of a 76-year-old man who underwent total laryngectomy for laryngeal cancer (cT3N0M0) who presented with a foreign body (T-tube) lodged in his airway. Postoperatively, the permanent tracheostomy was observed to be stenotic, and we inserted a T-tube to maintain patency of the tracheostomy. We observed a gradual increase in sputum accumulation, necessitating frequent suctioning. Follow-up computed tomography performed a few weeks later for comorbid interstitial pneumonia revealed a foreign body in the left main bronchus. We performed bronchoscopy for removal of the bronchial foreign body, which proved to be the T-tube.

MeSH terms

  • Medicine
  • Foreign body
  • Atelectasis
  • Left main bronchus
  • Airway
  • Bronchus
  • Surgery
  • Bronchoscopy
  • Tube (container)
  • Foreign body aspiration
  • Right Main Bronchus
  • Pneumonia
  • Sputum
  • Foreign Bodies
  • Chest tube
  • Choking
  • Tracheal tube