MRIが有用であったピーナッツ気管支異物

概要

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We used MRI (T1 weighted image) for the diagnosis of the case of the bronchial peanuts foreign body in which usual endoscopic procedure was very difficult because of reactive bronchial stenosis. The patient was a 1-year 2-month old boy and his body weight was 8.0 kg. MRI could visualize the figure of peanut which was not visible in the plain X-ray film because of radiopacity. At the time of removal of foreign body, we intubated unilaterally to the affected bronchus using the endotracheal tube (3.5 mm ID.) in which two additional pores was made, under the guidance of a fiberscope (diameter 1.8 mm)<BR>This procedure was very effective to the observation of the stenotic bronchial mucosa and to the approach to the foreign body through the bronchial stenosis.
特定非営利活動法人日本気管食道科学会の論文