title: Successful removal of a distally located foreign body using a guide sheath.
abstract: This report presents the case of successful removal of a distally located foreign body using a guide sheath (GS). A 78-year-old man was brought for x-ray examination after a dental treatment at a local clinic. A dental instrument, a diamond bur, was missing after the treatment. The chest x-ray revealed a needle-like instrument located in the peripheral right middle lobe. The distally located foreign body was removed with a flexible bronchoscope using a curette and a biopsy forceps placed through a GS. This is the first report of use of a GS to remove a foreign body.
authors.affiliation: *Department of Pulmonary Medicine, National Hospital Organization Disaster Medical Center †Medical Hospital of Tokyo Medical Dental University, The Integrated Pulmonology, Tokyo, Japan.
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Hamamoto
authors.forename: Munehisa
authors.initials: M
authors.lastname: Fukusumi
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Takeoka
authors.forename: Atsuto
authors.initials: A
authors.lastname: Mouri
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kamimura
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Ibe
mesh_terms: D000368:Aged; D001706:Biopsy / Q000295:instrumentation; D001980:Bronchi; D001999:Bronchoscopy / Q000295:instrumentation* / Q000379:methods; D003762:Dental Instruments; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography