Case Report
 
Unsuspected wooden foreign body of lung parenchyma masquerading pulmonary tuberculosis: A rare surgical entity
Mohammad Sadik Akhtar1, Mohammad Hanif Beg2, Manoj Khurana3
1Assistant Professor Department of Surgery, J.N.M.C. AMU, Aligarh, UP, India.
2Professor Cardiothoracic Surgery Unit, Department of Surgery, J.N.M.C. AMU, Aligarh, UP, India.
3Junior Resident, Department of Surgery, J.N.M.C., AMU, Aligarh, UP, India.

doi:10.5348/ijcri-2012-10-199-CR-12

Address correspondence to:
Professor Mohammad Hanif Beg
Cardiothoracic Surgery Unit
Department of Ssurgery, J.N.M.C. AMU
Aligarh, UP
India
Phone: 09760264780
Email: mhbeg@rediffmail.com

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How to cite this article:
Akhtar MS, Beg MH, Khurana M. Unsuspected wooden foreign body of lung parenchyma masquerading pulmonary tuberculosis: A rare surgical entity. International Journal of Case Reports and Images 2012;3(10):47–50.


Abstract
Introduction: Parenchymal foreign bodies after chest trauma are rare. These foreign bodies have no specific sign and symptoms and X-rays are unhelpful. The detection of wood is especially important because it may serve as a nidus for infection and masquerade pulmonary tuberculosis.
Case Report: We report a rare case of retained wooden foreign body in the lung parenchyma that was suspected on computed tomography after prolonged treatment and repeated X-rays. Thoracotomy was performed and two wooden pieces were removed. Review of literature shows that presence of wooden foreign bodies in the lung parenchyma is quite rare and may present with a wide variety of symptoms.
Conclusion: We conclude that foreign body should be considered in the differential diagnosis when patient presents with a history of trauma and patient fails to improve despite continued treatment, and it must be removed on an urgent basis due to the risk of recurrent infection.

Key Words: Foreign body, Lung, Wood, Parenchyma, Tuberculosis, Pulmonary disease


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Author Contributions:
Mohammad Sadik Akhtar – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Mohammad Hanif Beg – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Manoj Khurana – Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Mohammad Sadik Akhtar et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)