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India | Health and Medical Sciences | Volume 14 Issue 10, October 2025 | Pages: 422 - 424
Endobronchial Foreign Body Induced Obstructive Pneumonitis Mimicking a Tumour
Abstract: Foreign body aspiration (FBA) is infrequently reported in the adult population, with major risk factors including advancing age, intoxication, and disorders of the central nervous system etc. Here, I present a case of FB aspiration in a patient who was referred in view of squamous metaplasia/? Carcinoid tumour suspicion in bronchoscopic BAL cytology report, which on our repeat bronchoscopy and biopsy under short GA found out to be a foreign body Granuloma, causing obstructive pneumonitis, which was trapped in right lower lobe bronchus causing surrounding bronchial mucosa oedema and inflammed. We ordered a repeat CECT scan of chest which is almost after 6 months of previous CT, which showed patchy consolidation with cut off sign in right lower lobe posterior and medial basal segment with size of patch appears to be stable compared with old CT. Bronchoscopy was performed, revealing oedematous and inflamed basal bronchus and on careful inspection removed a small foreign body and took biopsy from inflamed bronchial mucosa. Histopathologic analysis of the tissue sample revealed the presence of an aspirated foreign body with squamous metaplasia and granulation of the respiratory epithelium. Adult FBA presenting as endobronchial tumour is rare and always inspect airways carefully when suspecting endobronchial tumour and rule out an obstructive pneumonitis first.
Keywords: FBA- Foreign Body Aspiration, LMA- Laryngeal Mask Airway, GA- General Aneasthasia, BAL- Broncho Alveolar Lavage, CT- Computed Tommography
How to Cite?: Dr. Junaid Hussain, "Endobronchial Foreign Body Induced Obstructive Pneumonitis Mimicking a Tumour", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 422-424, https://www.ijsr.net/getabstract.php?paperid=SR251006172941, DOI: https://dx.doi.org/10.21275/SR251006172941