Harefuah
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A fragment of a fractured tracheostomy tube as a foreign body in the bronchus is very unusual. We report an 18-year old male with Hunter's syndrome who presented with fever and bronchorrhea. ⋯ Chest X-ray showed an opaque foreign body in the right main bronchus which was removed through a flexible bronchoscope and found to be a piece of the broken edge of the outer cannula of a tracheostomy tube. We suggest regular examination of tracheostomy tubes for signs of wear-and-tear and recommend their periodic renewal before they become worn out.
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Penetrating cardiac injury is often fatal. Patients present with a variety of clinical patterns, from a stable patient but with an insidious course, to those admitted with waning vital signs. In all cases prompt diagnosis and treatment are crucial. A series of 98 cases is presented, emphasizing the problems in diagnosing this condition and recommending the way such patients should be triaged and treated.