[Massive hemoptysis ten days after bronchial extraction of an accidentally inhaled tablet of ferrous sulfate].
Fatale haemoptysis occurred as a result of circumferential caustic erosion to the right intermediate bronchus caused by a tablet of ferrous sulphate which remained in contact for 4 days. The necrotic process continued, after removal of the foreign body, in the bronchial wall and its vessels. We suggest local bronchial lavage with 1% bicarbonate saline during extraction of the tablet and subsequent follow-up fibroscopies. The discovery of a necrotic ulceration of the bronchus requires strict medico-surgical surveillance in order to rapidly intervene under cover of selective intubation when necessary.
Evrard
C
C
Service de Chirurgie Thoracique et Cardio-vasculaire, Caen.
Coffin
O
O
Kaladji
C
C
Brun
J
J
Benard
Y
Y
Doumert
J
J
D000061:Accidents, Home; D001205:Ascorbic Acid / Q000506:poisoning*; D002059:Burns, Inhalation / Q000209:etiology* / Q000601:surgery; D002424:Caustics / Q000009:adverse effects; D005260:Female; D005296:Ferrous Compounds / Q000506:poisoning*; D006469:Hemoptysis / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D008168:Lung / Q000187:drug effects / Q000473:pathology; D008875:Middle Aged; D009336:Necrosis; D013607:Tablets
D002424:Caustics; D005296:Ferrous Compounds; D013607:Tablets; C020748:ferrous sulfate; D001205:Ascorbic Acid
Hémoptysie massive dix jours après extraction bronchique d'un comprimé de sulfate ferreux inhalé accidentellement.