Foreign body in left bronchus with delayed complications: a case report

A 30 years old man presented with history of cough with expectoration, and fever off and on for the last many years with no history of haemoptysis. He was often treated by a course of antibiotics, expectorants and bronchodilators by the physicians. He was also given a course of Anti Tubercular Treatment (ATT) for the 6 months by some physician but without any relief. On a detailed interaction and history taking patient did give a doubtful history of aspiration of foreign body during his childhood, after which he began to develop repeated episodes of cough and fever. X-rays of the chest didn't reveal any foreign body. Computed Tomography (CT) scan chest revealed left lower lobe bronchiectasis with collection in the left lower lobe basal segment with pleural collection around it. Surgical intervention was undertaken and left lower lobe lobectomy was done. A foreign body in the form of plastic whistle was removed from the bronchus.