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Inicio Open Respiratory Archives A 6cm Metal Crack Pipe Aspirated
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Vol. 5. Núm. 1.
(enero - marzo 2023)
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8083
Vol. 5. Núm. 1.
(enero - marzo 2023)
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A 6cm Metal Crack Pipe Aspirated
Pipa de fumar crack metálica de 6 cm aspirada
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8083
Antolina Gómez Lópeza,
Autor para correspondencia
antolinagl@hotmail.com

Corresponding author.
, Julie Tronchettib, Rosa Espinalb, Philippe Astoulb, Hervé Dutaub
a Pneumology Service, 12 de Octubre University Hospital, Madrid, Spain
b Thoracic Oncology, Pleural Diseases and Interventional Pulmonology Department, North University Hospital, Marseille, France
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A 56 year-old male, schizophrenic, was admitted for respiratory distress while, according to the patient, he was doing do-it-yourself (DIY) work. The chest X-ray revealed a metallic elongated foreign body in the right main bronchus (RMB) (Fig. 1), confirmed by the chest computerized tomography (CT) a turbine for air circulation in its interior (Fig. 2). Subsequently, rigid bronchoscopy was performed and a shiny object with smooth edges was visualized (Fig. 3) with a large rigid crocodile forceps was extracted in bloc (Fig. 4). The patient recovered without complication. The length was 6cm (Fig. 5), at its most enlarged end had, rounded holes of 2mm, a filter inside its tappered end and one of its side showed signs of probable combustion (Fig. 6). All of these characteristics, compared to Internet, made us think that it could be a crack pipe.

Fig. 1.

Posterior–anterior radiograph with metallic foreign body in the right bronchial tree.

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Fig. 2.

Metallic foreign body with turbin inside the right main bronchus on chest computerized tomography.

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Fig. 3.

Endobronchial view with its rounded edge of crak pipe in the right main bronchus.

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Fig. 4.

Grip with rigid forceps through the rigid bronchoscope.

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Fig. 5.

Crack pipe's measurement.

(0.07MB).
Fig. 6.

Burned side of the crack pipe.

(0.08MB).

Bronchial aspiration of accessories for the inhaled consumption of crack or even the drug itself has been published. There are one with a glass crack pipe located in the left main bronchus simulating an endobronchial prothesis on CT1 and another very serious one while fleeing from the police he aspirated the plastic bag with wrapped drug and it is caused complete obstruction of the trachea with recovered cardiorespiratory arrest.2

Informed consent

The authors confirm that the patient's written consent has been obtained.

Funding

No funding received.

Authors’ contributions

All authors have participated in the article.

Conflicts of interest

The authors declare no conflicts of interest.

References
[1]
K.L. Kovitz, M.L. Mayse, C.E. Araujo, O. David.
Self-stenting with a crack pipe: the ultimate in ‘managed care’.
Respiration, 71 (2004), pp. 91
[2]
N. Tathagat, J. Wissam, M.S. Machuzak, T.R. Gildea.
Acute central airway obstruction: an occupational hazard aspiration of crack cocaine.
J Bronchol Intervent Pulmonol, 19 (2012), pp. 126-128
Copyright © 2022. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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