Foreign Body Aspiration in Adults (Two Unusual Foreign Bodies; Knife and Tube Tracheostomy)

Document Type : Case Report


1 Department of Thoracic Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Department of General Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

3 General Surgeon, Resident of Thoracic Surgery, Isfahan University of Medical Sciences, Isfahan, Iran

4 General Surgeon, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran


Foreign body aspiration is usually a serious condition that is most common among the pediatric population, and rare in adults. In adults, aspiration may be tolerated for a long time.
Case Reports:
Our first case is a 38-year-old man who presented with a 2-day history of swallowing a foreign body. He was completely asymptomatic. Chest X-ray revealed the presence of 5-cm foreign object in the right main bronchus. Rigid bronchoscopy was performed and a knife was removed from the right main bronchus. Second, a 57-year old man with a known case of laryngeal cancer from 15 years previously was admitted for respiratory distress. He had previously undergone a permanent tracheostomy and had received radiotherapy for his cancer. At the first visit, the patient had prominent distress and was transferred to the operating room as an emergency. A tube was seen on chest X-ray. On bronchoscopy, we found the tracheostomy situated in the carina. The cleaved tracheostomy was removed using the grasper, by grasping the cuff line.
We conclude that foreign body aspiration might be completely asymptomatic, especially in an adult. A good history and imaging findings can help us to diagnose and treat the condition carefully.


Main Subjects

1. Itasca, IL. National Safety Council. (2015). Injury Facts®, 2015 Edition. Library of Congress Catalog Card Number: 99-74142. Printed in U.S.A. ISBN 978-0-87912-334-5.
2. Baharloo F, Veyckemans F, Francis C, Biettolt M-P, Rodenstein DO. Tracheobronchial foreign bodies: Presentation and management in children and adults. Chest 1999;115:1357–62.
3. Sersar SIRizk WHBilal MEl Diasty MMEltantawy TAAbdelhakam BB, et al. Inhaled foreign bodies: Presentation, Management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg 2006; 134:92–9.
4. Willett LL, Barney J, Saylors Gl. An unusual cause of chronic cough. Foreign body aspiration. J Gen Intern Med 2006;21(2):C1–C3.
5. Zissin R, Shapiro-Feinberg M, Rozenman J, Apter S, Smorjik J, Hertz M. CT findings of the chest in adults with aspirated foreign bodies. European Radiology. 2001;11(4):606–11.