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Parathyroid Adenoma
Joseph Junewick, MD FACR
over 6 years ago
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Aspirated Tooth

Case Detail

Anatomy: Chest
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 4 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: CR
Activities:
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History

Teenager with wheezing. Inadvertently swallowed a self-extracted tooth yesterday.


Case Images


Diagnosis

Aspirated Tooth

Findings

CR – PA and lateral views of the chest with photographic magnification of the right hilum show a primary molar in the right mainstem bronchus.

Discussion

Aspirated foreign bodies most commonly lodge in the right main stem bronchus although involvement of all lobes, including the upper lobes, has been documented. In the United States, peanuts are by far the most commonly aspirated material in children; less likely culprits include other organic material (such as hotdogs, candy, carrots, corn, peas, seeds, bones), medical and dental appliances, jewelry, toys, toothpicks and teeth.

Reference

Zhang M, Zhou GJ, Zhao S, et al. Delayed diagnosis of tooth aspiration in three multiple trauma patients with mechanical ventilation. Crit Care (2011); 15(3): 424.



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