A bronchial butterfly

Abstract

We report on an asthmatic patient who accidentally inhaled the small metal backing ("butterfly") of a nose stud, which she wore daily. Despite administration of nebulized salbutamol, postural drainage, and the use of rigid and fibreoptic bronchoscopes, attempted removal of the butterfly remained unsuccessful. Spontaneous expulsion of the butterfly occurred two months following inhalation. We suggest that consideration should be given by nose stud jewelry manufacturers to a more secure fixing device.