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Doctors thought this man had lung cancer, but turns out it was a toy he swallowed 40 years ago

“On a positive note, his symptoms improved and he found his long lost Playmobil traffic cone in the very last place he would look.”

Published
(BMJ)

A 47-year-old man who doctors thought had lung cancer was given the good news that the mass in his right lung wasn’t a tumour at all, but a toy traffic cone he inhaled as a child.

The unidentified handyman, who lives in the UK, was suffering with coughing and mucus after being treated for pneumonia, and when doctors looked at X-rays of his lungs, they found something in his right lung that looked like a malignant tumour.

On performing a bronchoscopy, a procedure that allows doctors to look at a patient’s airways using a thin instrument known as bronchoscope, doctors at Royal Preston Hospital in Preston found a small Playmobil toy lodged in his lung and removed it with forceps.

Traffic cone case study.
The Playmobil cone which was taken out of the man’s lung (BMJ)

Children have been known to accidentally inhale small toys but in most cases, doctors are able to diagnose it within a week.

In their report, the medics describe the case as something “unheard of”.

They believe the situation continued for more than 40 years without being noticed because “the patient’s airway was able to remodel and adapt to the presence of this foreign body”.

Traffic cone case study.
Chest X-rays two weeks before and four months after removal of the toy cone (BMJ)

Any symptoms would have been further masked when the patient started smoking, the doctors said.

Although there is some permanent damage in the airway, the patient’s persistent cough cleared up four months after the toy was removed.

Traffic cone case study.
CT scan showing middle and right lower lobe consolidation of the lung (BMJ)

“On a positive note, his symptoms improved markedly and he finally found his long lost Playmobil traffic cone in the very last place he would look,” the doctors wrote.

The paper has been published in Biomedical Journal Case Reports.

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