Chicken neck lodged in bronchus

Case contributed by Dr Tim Luijkx

Presentation

Ate chicken box on Friday. No foreign body on chest x-ray, now unable to swallow, breathing difficulty and fever. Foreign body? Subglottic perforation and mediastinitis?

Patient Data

Age: 80 years
Gender: Male

Bone density foreign body in the right main bronchus with configuration in keeping with a vertebra.  

Mild atelectasis in right lower lobe and middle lobe without evidence of lobar collapse. Small areas of peribronchial consolidation/inflammatory change in upper lobe and middle lobe laterally. Small mediastinal, subcarinal and right hilar lymph nodes, likely reactive.

Right upper lobe calcified granuloma. No other pulmonary parenchymal or pleural lesion identified. No evidence of pneumomediastinum. No stranding in the mediastinal fat to suggest mediastinitis. No abscess or collection. Small hiatus hernia. No destructive osseous lesion.

CONCLUSION:

Foreign body in the right main bronchus, the configuration of which resembles a vertebra.  
Mild inflammatory change and atelectasis in the right lung without evidence of lobar collapse.  

Case Discussion

CT demonstrates a chicken neck lodged in the origin of the right inferior bronchus.

The similarity of its configuration to a human vertebra is both striking and helpful in interpreting this case in the context of the clinical history.

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Case information

rID: 55737
Case created: 22nd Sep 2017
Last edited: 24th Sep 2017
System: Chest
Inclusion in quiz mode: Included

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