Macrocephaly Capillary Malformation
Heather Borders, MD
over 7 years ago
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Joseph Junewick, MD FACR
|Diagnostic Category: Trauma
|Created: over 3 years ago
|Updated: over 3 years ago
Teenager with wheezing. Inadvertently swallowed a self-extracted tooth yesterday.
CR – PA and lateral views of the chest with photographic magnification of the right hilum show a primary molar in the right mainstem bronchus.
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.
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.