{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:45:29Z","timestamp":1792147529490,"version":"4.4.0"},"reference-count":17,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>Unlike in children, foreign body aspiration in adults is an uncommon occurrence. The clinical presentation is often nonspecific, with a myriad of symptoms and radiological abnormalities. These cases can mimic chronic lung conditions like asthma and chronic obstructive pulmonary disease, thereby delaying definitive diagnosis and timely interventions.\nWe conducted a retrospective analysis of the bronchoscopy suite database (January 2022 to December 2025) to identify cases subjected to flexible bronchoscopy for suspicion of a foreign body.\u00a0 Data on demographics, clinical symptoms, radiological findings, type of foreign body, retrieval methods, and procedure-related complications were retrieved and analyzed.\nDuring the study period, a total of 1679 flexible bronchoscopies were performed. Of these, 12 (0.71%) were done for suspected foreign body aspiration. A foreign body was identified in 10 cases (83.33%), and in eight cases (80%), the foreign body was successfully retrieved using a flexible bronchoscope.\nThe mean age of the study population was 48.38\u00b120.23 years, with a female preponderance (62.5%). The most common radiological presentation was atelectasis, and direct visualization of foreign bodies was found in five cases (627.5%). Organic foreign bodies were commonly identified (87.5% of cases); among them, betel nut was the most common foreign body. Grasping forceps and Dormia baskets were the most commonly used instruments, with no major complications.\nForeign body aspiration in adults is a rare clinical entity, and a high index of suspicion is required to identify such cases. Flexible bronchoscopy is the modality of choice for diagnosis and retrieval of foreign bodies with a high success rate and minimal complications.<\/jats:p>","DOI":"10.4081\/monaldi.2026.4251","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:53:41Z","timestamp":1792144421000},"source":"Crossref","is-referenced-by-count":0,"title":["A retrospective study of flexible bronchoscopic retrieval of airway foreign bodies in adults"],"prefix":"10.4081","author":[{"given":"Ashok","family":"Kuwal","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine, Dr S. N. Medical College, Jodhpur, Rajasthan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaina Ram","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Dr S. N. Medical College, Jodhpur, Rajasthan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhoopendra Kumar","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Dr S. N. Medical College, Jodhpur, Rajasthan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radheshyam","family":"Meghwal","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Dr S. N. Medical College, Jodhpur, Rajasthan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balveer","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Dr S. N. Medical College, Jodhpur, Rajasthan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"89223","doi-asserted-by":"crossref","unstructured":"Ng J, Kim S, Chang B, et al. Clinical features and treatment outcomes of airway foreign body aspiration in adults. J Thorac Dis 2019;11:1056-64.","DOI":"10.21037\/jtd.2018.12.130"},{"key":"89224","doi-asserted-by":"crossref","unstructured":"Baharloo F, Veyckemans F, Francis C, et al. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 1999;115:1357-62.","DOI":"10.1378\/chest.85.3.452c"},{"key":"89225","doi-asserted-by":"crossref","unstructured":"Kara K, Ozdemir C, Tural Onur S, et al. Late diagnosis of foreign body aspiration in adults: case series and review of the literature. Respir Care 2024;69:317-24.","DOI":"10.4187\/respcare.10723"},{"key":"89226","doi-asserted-by":"crossref","unstructured":"Sehgal IS, Dhooria S, Ram B, et al. Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respir Care 2015;60:1438-48.","DOI":"10.4187\/respcare.03976"},{"key":"89227","doi-asserted-by":"crossref","unstructured":"Kumar T P, Vananjakar SS, Saleem T, et al. Unravelling the impact of foreign bodies on bronchiectasis: insights from a case series study. Cureus 2024;16:e69475.","DOI":"10.7759\/cureus.69475"},{"key":"89228","doi-asserted-by":"crossref","unstructured":"Jalandra RN, Deokar K, Chauhan NK, Dutt N. Navigating challenges in adult airway foreign body extraction: retrospective insights from flexible bronchoscopy. Cureus 2024;16:e76173.","DOI":"10.7759\/cureus.76173"},{"key":"89229","doi-asserted-by":"crossref","unstructured":"Paradis T, Wollenberg M, Tieu B. Extraction of a large central airway foreign body using flexible bronchoscopy combined with an endobronchial blocker. Case Rep Surg 2016;2016:3179184.","DOI":"10.1155\/2016\/3179184"},{"key":"89230","doi-asserted-by":"crossref","unstructured":"Ma W, Hu J, Yang M, et al. Application of flexible fiberoptic bronchoscopy in the removal of adult airway foreign bodies. BMC Surg 2020;20:165.","DOI":"10.1186\/s12893-020-00825-5"},{"key":"89231","doi-asserted-by":"crossref","unstructured":"Sancho-Chust JN, Molina V, Va\u00f1es S, et al. Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults. J Clin Med 2020;9:1409.","DOI":"10.3390\/jcm9051409"},{"key":"89232","doi-asserted-by":"crossref","unstructured":"Boyd M, Chatterjee A, Chiles C, Chin R. Tracheobronchial foreign body aspiration in adults. South Med J 2009;102:171-4.","DOI":"10.1097\/SMJ.0b013e318193c9c8"},{"key":"89233","doi-asserted-by":"crossref","unstructured":"Mise K, Jurcev Savicevic A, Pavlov N, Jankovic S. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995-2006. Surg Endosc 2009;23:1360-4.","DOI":"10.1007\/s00464-008-0181-9"},{"key":"89234","doi-asserted-by":"crossref","unstructured":"Cunanan OS. The flexible fiberoptic bronchoscope in foreign body removal. Experience in 300 cases. Chest 1978;73:725-6.","DOI":"10.1378\/chest.73.5.725"},{"key":"89235","doi-asserted-by":"crossref","unstructured":"Jang G, Song JW, Kim HJ, et al. Foreign-body aspiration into the lower airways in adults; multicenter study. PLoS One 2022;17:e0269493.","DOI":"10.1371\/journal.pone.0269493"},{"key":"89236","doi-asserted-by":"crossref","unstructured":"Kim M, Lee KY, Lee KW, Bae KT. MDCT evaluation of foreign bodies and liquid aspiration pneumonia in adults. AJR Am J Roentgenol 2008;190:907-15.","DOI":"10.2214\/AJR.07.2766"},{"key":"89237","doi-asserted-by":"crossref","unstructured":"Won HS, Cha YK, Kim JS, et al. A pictorial review of radiologic findings of foreign bodies in the thorax. Taehan Yongsang Uihakhoe Chi 2022;83:293-303.","DOI":"10.3348\/jksr.2021.0084"},{"key":"89238","doi-asserted-by":"crossref","unstructured":"Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China. Intern Med 2012;51:2515-9.","DOI":"10.2169\/internalmedicine.51.7672"},{"key":"89239","doi-asserted-by":"crossref","unstructured":"Al-Sarraf N, Jamal-Eddine H, Khaja F, Ayed AK. Headscarf pin tracheobronchial aspiration: a distinct clinical entity. Interact Cardiovasc Thorac Surg 2009;9:187-90.","DOI":"10.1510\/icvts.2009.207548"}],"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/macd\/article\/download\/4251\/2301","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/macd\/article\/download\/4251\/2301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:53:45Z","timestamp":1792144425000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/macd\/article\/view\/4251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":17,"URL":"https:\/\/doi.org\/10.4081\/monaldi.2026.4251","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"value":"2532-5264","type":"electronic"},{"value":"1122-0643","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,16]]}}}