Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series A Rare Case of Migration of Ballistic Projectile from Left to Right Main Bronchus
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series A Rare Case of Migration of Ballistic Projectile from Left to Right Main Bronchus
Case Report/Series A Rare Case of Migration of Ballistic Projectile from Left to Right Main Bronchus
Subject
KEYWORDS ballistic projectile, bronchus, foreign-body migration, thoracotomy
Description
A foreign body in the respiratory tract is rare and
is mostly associated with aspiration events.1,2 However,
foreign bodies in the trachea are common, especially in
children, and are mainly caused by aspiration. Although
penetrating tracheal injuries have been frequently
documented, bullet components remaining in the
airway are rarely reported. After maxillofacial or chest
trauma, bullet migration to the airway occurs in some
situations. Tracheal damage is usually not difficult
to diagnose. Respiratory discomfort, hemoptysis,
air escaping from the incision, and subcutaneous
emphysema are the possible symptoms. The airway
injury might be minor or fatal, and local trauma such as
vascular and esophageal injuries may impact mortality
and morbidity.3,4
A foreign body in the respiratory tract due to a
ballistic projectile is an extremely rare case. It is usually
sterile due to its physical characteristics. However,
it can develop into a life-threatening condition if left
untreated. The migration of the foreign body is a
common case in the upper airway system, judging
by the size of the lumen. It is extremely rare to find a
migrating foreign body once it is located in the distal
airway tract, namely after the tracheal bifurcation. In
a common situation, the lodging of the foreign body in
the lower airway tract prevents them from dislodging.
is mostly associated with aspiration events.1,2 However,
foreign bodies in the trachea are common, especially in
children, and are mainly caused by aspiration. Although
penetrating tracheal injuries have been frequently
documented, bullet components remaining in the
airway are rarely reported. After maxillofacial or chest
trauma, bullet migration to the airway occurs in some
situations. Tracheal damage is usually not difficult
to diagnose. Respiratory discomfort, hemoptysis,
air escaping from the incision, and subcutaneous
emphysema are the possible symptoms. The airway
injury might be minor or fatal, and local trauma such as
vascular and esophageal injuries may impact mortality
and morbidity.3,4
A foreign body in the respiratory tract due to a
ballistic projectile is an extremely rare case. It is usually
sterile due to its physical characteristics. However,
it can develop into a life-threatening condition if left
untreated. The migration of the foreign body is a
common case in the upper airway system, judging
by the size of the lumen. It is extremely rare to find a
migrating foreign body once it is located in the distal
airway tract, namely after the tracheal bifurcation. In
a common situation, the lodging of the foreign body in
the lower airway tract prevents them from dislodging.
Creator
Edwin Yosef Widjaja, Dhihintia Jiwangga, Chikita Nur Rachmi
Source
https://doi.org/10.13181/mji.cr.226125
Date
Accepted: November 14, 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Edwin Yosef Widjaja, Dhihintia Jiwangga, Chikita Nur Rachmi, “Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series A Rare Case of Migration of Ballistic Projectile from Left to Right Main Bronchus,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1070.
Case Report/Series A Rare Case of Migration of Ballistic Projectile from Left to Right Main Bronchus,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1070.