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A Key to the Large Airway!

Elsayed, Hany MD, FRCS Cth* †; Mushtaq, Roofa FRCA; Shackcloth, Michael FRCS Cth§

Journal of Bronchology & Interventional Pulmonology: October 2010 - Volume 17 - Issue 4 - p 367
doi: 10.1097/LBR.0b013e3181f316d0
Letters to the Editor
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Departments of *Cardiothoracic

Anaesthetic

§Cardiothoracic Liverpool Heart and Chest Hospital Liverpool, UK

Department of Thoracic Surgery Ain Shams University Cairo, Egypt

To the Editor:

Heavy consumption of alcohol can always be hazardous and is a known risk factor for foreign body aspiration. We report here an unrecorded complication of alcohol of a whole key aspirated by a drunken patient after his friend put it in his beer.

A 25-year-old man presented to the emergency department with an attack of mild hemoptysis. A chest x-ray (Fig. 1) showed an unusual finding of a whole key in his right main bronchus. His friend accompanying him admitted putting the key in his beer when the patient was drunk in the pub 3 days earlier as a joke! A rigid bronchoscopy was performed and the key was found to lie in the right main bronchus (Fig. 2) and was uneventfully extracted.

FIGURE 1.

FIGURE 1.

FIGURE 2.

FIGURE 2.

Hany Elsayed, MD, FRCS Cth* †

Roofa Mushtaq, FRCA

Michael Shackcloth, FRCS Cth§

Departments of *Cardiothoracic

Anaesthetic

§Cardiothoracic Liverpool Heart and Chest Hospital Liverpool, UK

Department of Thoracic Surgery Ain Shams University Cairo, Egypt

© 2010 Lippincott Williams & Wilkins, Inc.