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A laryngeal foreign body misdiagnosed as asthma bronchiale

Cinar, Ugur; Vural, Cetin; Turgut, Suat

European Journal of Emergency Medicine: December 2003 - Volume 10 - Issue 4 - p 334-336
CASE REPORT
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Laryngotracheal foreign bodies, although less common than bronchial foreign bodies, are potentially more dangerous. We report a 10-year-old girl with Down syndrome with asthma bronchiale symptoms, which was later found to be the result of a thin bone lamella impacted in her larynx. There was no clear history of foreign body aspiration. She was treated with the initial diagnosis of asthma bronchiale. It took a month before the final diagnosis was made. The foreign body was removed via direct laryngoscopy. It was a white and thin bone lamella with sharp edges, measuring 28×19×2 mm. We thought the case was worth presenting because of its rare location, the size of the foreign body, and the long duration before the final diagnosis was made.

Department of Otolaryngology, Sisli Etfal Teaching and Research Hospital, Istanbul, Turkey

Correspondence to Ugur Cinar, MD, Korkadi sok. Turizm sitesi, 4 Blok No. 13 Ulus, Istanbul, Turkey 80600

Tel: +90 212 263 18 78; fax: +90 212 266 40 59;

e-mail: u_cinar@yahoo.com

© 2003 Lippincott Williams & Wilkins, Inc.