Have You Seen My Teeth? A Case with an Extraordinary Radiologic Finding

A 55-year-old man was admitted to the emergency department with severe dyspnea and hoarseness, starting immediately after a hypotensive syncope attack at home. Pulmonary auscultation revealed generalized stridor and right-sided wheezing, with no finding in the upper airway on direct laryngoscopy. Chest X-ray and computed thorax tomography revealed a high-density foreign body on the carina, causing partial obstruction in the right main bronchus. The fractured dental plate, probably aspirated during the syncope attack, was successfully removed by rigid bronchoscopy. The postoperative period was uneventful and the patient was discharged on the same day. Rapid physical and radiologic examination of patients with severe acute dyspnea is vital for determining the treatment modality and preventing any potential mortality.

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Ekstraksi Benda Asing pada Kavum Nasi Melalui Bronkoskopi

Jurnal Respirasi ◽

10.20473/jr.v4-i.2.2018.45-50 ◽

2018 ◽

Vol 4 (2) ◽

pp. 45

Author(s):

Isnu Pradjoko ◽

Chandra Jaya

Keyword(s):

Foreign Body ◽

Nasal Cavity ◽

Upper Airway ◽

The United States ◽

Foreign Body Aspiration ◽

Lower Airway ◽

X Ray ◽

Tracheobronchial Foreign Body ◽

Chest X Ray ◽

The Right

Background: Aspiration of a tracheobronchial foreign body is a serious and fatal event. Progress in terms of prevention, first aid, and endoscopic technology, caused a decline of almost 20% of deaths from foreign body aspiration that occurred in the United States. Statistically, the percentage of foreign body aspirations based on their respective location is: 5% hypopharynx, 12% larynx-trachea, and 83% bronchus. Most cases of foreign body aspiration occur in children aged <15 years old; about 75% of foreign body aspirations occur in children aged 1-3 years. The female-to-male ratio is 1.4:1. Case: A 11-year-old boy swallowed needles while playing flashlight about 2 hours before coming to Pulmonary Emergency Room of Dr. Soetomo General Hospital. Discussion: Chest X-ray examination found a shadow of metal density projected in the right lung. Fiber optic bronchoscopy (FOB) was performed for diagnostic and therapeutic indication to see the presence of a foreign body in the airway and remove the foreign body, but failed. When the needle was extracted, the patient coughed that the needle bounces to the supramaxilla area. FOB with nasal cavity approach successfully extracted the corpus alienum. Conclusion: Corpus alienum of airway sometimes is difficult to extract. FOB with nasal cavity approach can be done to manage corpus alienum in the upper airway that moved from lower airway when FOB was performed.

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Delayed Upper-Airway Injury after Accidental Alkaline Ingestion

Case Reports in Emergency Medicine ◽

10.1155/2014/503205 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3

Author(s):

Matthew F. Ryan ◽

Mindy Fernandez ◽

Karen Laauwe

Keyword(s):

Emergency Department ◽

Chest Pain ◽

Upper Airway ◽

Acute Injury ◽

Upper Endoscopy ◽

Shortness Of Breath ◽

X Ray ◽

Airway Injury ◽

Chest X Ray ◽

Alkaline Cleaning

A 62-year-old man presented to the emergency department one week after accidentally drinking an alkaline cleaning agent stored in unlabeled bottle. The day of the incident the patient presented to an outside hospital where he was admitted for an upper endoscopy of the esophagus which was found to be negative for acute injury. An initial chest X-ray taken the day of the incident was also found to be normal. After discharge the patient continued to have a sore throat and marked dysphagia which caused him to vomit repeatedly. Moreover, the patient began to develop chest pain with associated shortness of breath. We present a case of delayed airway injury and tracheal thickening and associated chest pain after alkaline ingestion and we discuss herein the pathophysiology and management of alkaline ingestions.

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Misplacement of Tracheostomy Tube in the Right Main Bronchus: a Rare Complication

Case Reports in Surgery ◽

10.1155/2020/3597901 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Armin Amirian ◽

Reza Shahriarirad ◽

Bizhan Ziaian ◽

Parviz Mardani ◽

Amirhossein Erfani

Keyword(s):

Squamous Cell Carcinoma ◽

Tracheostomy Tube ◽

Pressure Effect ◽

Main Bronchus ◽

Rare Complication ◽

Fiberoptic Bronchoscopy ◽

X Ray ◽

Metastatic Squamous Cell Carcinoma ◽

Chest X Ray ◽

The Right

A 38-year-old woman known case of metastatic squamous cell carcinoma of the cervical esophagus due to increasing dyspnea and stridor attributed to the pressure effect of the primary mass was scheduled for tracheostomy, which ended up in the right main bronchus. This rare complication occurred using a tracheostomy tube number 7.5 via a vertical tracheotomy over 4th and 5th tracheal rings. The misplacement was confirmed by chest X-ray and fiberoptic bronchoscopy, and the tracheostomy tube was successfully repositioned in a nonoperative approach.

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Asymmetric pulmonary edema after scorpion sting: a case report

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652008000600007 ◽

2008 ◽

Vol 50 (6) ◽

pp. 347-350 ◽

Cited By ~ 9

Author(s):

Ebrahim Razi ◽

Elaheh Malekanrad

Keyword(s):

Emergency Department ◽

Case Report ◽

Pulmonary Edema ◽

Good Condition ◽

Clinical Manifestations ◽

Scorpion Sting ◽

Scorpion Envenomation ◽

X Ray ◽

Chest X Ray ◽

The Right

A 12-year-old boy was referred with acute asymmetric pulmonary edema (APE) four-hour after scorpion sting to Emergency department. On admission, the main clinical manifestations were: dyspnea, tachypnea, and tachycardia. Chest x-ray revealed APE predominantly on the right hemithorax. The patient was treated with oxygen, intravenous frusemide and digoxin and discharged on the sixth hospital day in a good condition. This case report emphasizes the occurrence of asymmetric pulmonary edema after severe scorpion envenomation within few hours immediately after the sting.

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Right Upper Lobe Shadow and Tracheobronchopathia Osteochondroplastica Confined to Right Main Bronchus: A Case Report and Literature Review

Case Reports in Medicine ◽

10.1155/2015/368485 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

Stylianos A. Michaelides ◽

George D. Bablekos ◽

George Ionas ◽

Stephanie Vgenopoulou ◽

Maria Chorti

Keyword(s):

Main Bronchus ◽

Chest Ct ◽

Cartilaginous Tissue ◽

Bronchial Mucosa ◽

Upper Airways ◽

X Ray ◽

The Past ◽

Chest X Ray ◽

The Right ◽

Tracheobronchopathia Osteochondroplastica

Tracheobronchopathia osteochondroplastica (TO) is a well documented benign entity of endoscopic interest. We describe a case of 76-year-old patient who presented with fever, cough, purulent sputum during the past four days, and presence of an ovoid shadow in right upper zone of his chest X-ray. Medical history included diagnosis of colon diverticuli identified by colonoscopy 3 months ago. Chest CT revealed a compact elongated lesion containing air-bronchogram stripes. Bronchoscopy showed normal upper airways and trachea but presence of unequal sized mucosal nodules, protruding into the lumen, along the entire length of the right main bronchial mucosa. No other abnormal findings were detected. Moreover, brushing and washing smears from the apical segment of right upper lobe (RUL), where the compact lesion was located, were negative for malignancy. Biopsy from the mucosal nodules of right main bronchus showed presence of cartilaginous tissue in continuity through thin pedicles with submucosal cartilage. This finding posed the diagnosis of TO while RUL lesion was cleared by antibiotic treatment. Case is reported because, to our knowledge, it represents a unique anatomic location of TO which was confined exclusively in the right main bronchus mucosa without affecting trachea.

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Inhalation of Pin - A Rare Case Report

International Journal of Pharmacology Phytochemistry and Ethnomedicine ◽

10.18052/www.scipress.com/ijppe.1.23 ◽

2015 ◽

Vol 1 ◽

pp. 23-26

Author(s):

Sandeep Kumar Kar ◽

Deepanwita Das ◽

Chaitali Sen ◽

Riju Bhattacharya ◽

Asit Munsi

Keyword(s):

Rare Case ◽

Main Bronchus ◽

Lower Lobe ◽

Basal Segment ◽

X Ray ◽

Rare Case Report ◽

Chest X Ray ◽

The Right ◽

Lung Ct ◽

Lung Ct Scan

A boy aged 1year presented with persistent cough, sputum and fever for last two months which is did not subside in spite of empirical mediacal therapy. For last 15 days symptoms started to aggravate and not responding to medical management. Chest X-ray showed a pin in the right main bronchus with more radiolucency of right lung. CT scan of chest revealed radiodense linear opacity in the right lower lobe primary and secondary bronchus with partial collapse consolidation of right lower lobe medial basal and lateral basal segment. Rigid bronchoscopic removal was tried but failed. Ultimately thoracotomy was done to remove the foreign body.

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Right lung complete atelectasis: an endotracheal tube displacement complication

Oxford Medical Case Reports ◽

10.1093/omcr/omab085 ◽

2021 ◽

Vol 2021 (9) ◽

Author(s):

Apostolos Dimos ◽

Andrew Xanthopoulos ◽

Filippos Triposkiadis

Keyword(s):

Emergency Treatment ◽

Main Bronchus ◽

Left Main Bronchus ◽

Left Main ◽

X Ray ◽

Breath Sounds ◽

History Of ◽

Chest X Ray ◽

Post Intubation ◽

The Right

ABSTRACT A 78-year-old, overweight woman with a severe individual history of the cardiovascular system was admitted in the intensive care unit with acute pulmonary edema. Despite appropriate emergency treatment, the patient did not show any clinical improvement and emergency intubation was decided. Post-intubation physical examination revealed dullness to percussion, absent breath sounds and reduced chest excursion of the right hemithorax combined with a gradual drop in blood pressure and oxygen saturation. An emergency chest X-ray showed opacification of the entire right lung and an ipsilateral shift of the mediastinum. Improvement of the patient’s respiratory and hemodynamic status was observed immediately after the partial withdrawal of the tube. Tube displacement is a relative frequent complication and concerns mainly the right main bronchus due to anatomical procedures. However, the above case is a rare case of tube displacement in the left main bronchus, which led to total atelectasis of the rightlung.

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Accuracy of lung ultrasound and chest X-rays in diagnosing acute pulmonary oedema in patients presenting with acute dyspnoea in emergency department

Journal of the Pakistan Medical Association ◽

10.47391/jpma.03-453 ◽

2021 ◽

Vol 71 (10) ◽

pp. 2423-2425

Author(s):

Sanniya Khan Ghauri ◽

Khawaja Junaid Mustafa ◽

Arslaan Javaeed ◽

Abdus Salam Khan

Keyword(s):

Emergency Department ◽

Lung Ultrasound ◽

Acute Pulmonary Oedema ◽

X Rays ◽

Acute Dyspnea ◽

Inclusion Criteria ◽

Predictive Values ◽

X Ray ◽

Acute Dyspnoea ◽

Chest X Ray

To determine the diagnostic accuracy of lung ultrasound and chest X-ray in diagnosing Acute Pulmonary Edema (APE) in patients presenting with acute dyspnea in emergency department. This study was conducted at the emergency department of Shifa International Hospital, Islamabad from 31st July 2018 to 31st January 2019. A total of 225 patients presenting with dyspnoea and satisfying inclusion criteria were assessed by clinical examination, lung USG and chest X-ray. The results of chest X-ray and lung USG were compared with clinical diagnosis. The current study revealed sensitivity of chest X-ray and LUS ( 60.16% versus 91.05%), specificity (66.67% versus 91.18%), positive predictive value (68.52% versus 92.56%) and the negative predictive values (58.12% versus 89.42%) respectively. Present study revealed that the LUS has better accuracy than chest X-ray for diagnosis of APE. Continuou...

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