Open AccessIntrapulmonary Foreign Body Removal Under Virtual Bronchoscopic Navigation
Author(s) -
Tomoyoshi Takenaka,
Masakazu Katsura,
Yasunori Shikada,
Kenichi Furuya,
Sadanori Takeo
Publication year - 2012
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0b013e31824f5a99
Subject(s) - medicine , foreign body , bronchoscopy , radiology , foreign bodies , flexible bronchoscopy , surgery
We report a case of successful removal of a pulmonary foreign body (gauze) using 3-dimensional computed tomography (CT) with virtual bronchoscopy. A 70-year-old woman underwent thoracic surgery for tuberculosis approximately 35 years ago. In 2011, she presented with chronic cough and intermittent fever. A chest CT revealed a soft tissue mass measuring approximately 4.5 cm in diameter in the right residual lower lobe of the lung. On the basis of the chest CT, a foreign body was suspected. The foreign body could not be identified under conventional bronchoscopy because of the presence of multiple bronchial stenoses due to chronic inflammation. Therefore 3-dimensional CT with virtual bronchoscopy was performed to detect the exact location of the foreign body. The foreign body was successfully removed during the navigation, and her symptoms disappeared rapidly.