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Foreign body inhalation: a nut in the tree

Stefan Buchholz and George R Rudan
Med J Aust 2008; 189 (11): 636.
Published online: 1 December 2008

A 69-year-old man presented with a 3-week history of intermittent interscapular dull ache, complicated by small volume haemoptysis. Contrast-enhanced computed tomography of the thorax showed no evidence of pulmonary embolism, but demonstrated a well circumscribed lesion, 10 mm in diameter, in the right bronchial tree (Figure, A), leading to suspicion of a neoplasm. Using flexible bronchoscopy, we successfully removed a whole macadamia nut (Figure, B) that was obstructing the bronchus intermedius at the level of the right middle lobe orifice.

  • Stefan Buchholz1
  • George R Rudan2

  • 1 Department of Internal Medicine, Nambour General Hospital, Nambour, QLD.
  • 2 Department of Internal Medicine, Manly District Hospital, Sydney, NSW.


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