Postobstructive Pulmonary Edema that Developed Immediately after the Removal of an Endobronchial Foreign Body

The patient was a 5-year-old boy who was transported to our hospital for a paroxysmal cough, disturbance of consciousness, tonic-clonic convulsions and labored breathing. The patient's respiratory failure persisted after the convulsions remitted, and the presence of an endobronchial foreign bod...

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Veröffentlicht in:Internal Medicine 2015, Vol.54(5), pp.497-502
Hauptverfasser: Masuda, Atsunori, Asano, Fumihiro, Tsuzuku, Akifumi, Sobajima, Takuya, Murakami, Anri, Matsuno, Yoshihiko, Hirata, Kazuhiro, Matsunami, Kunihiro, Imamura, Atsushi
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container_end_page 502
container_issue 5
container_start_page 497
container_title Internal Medicine
container_volume 54
creator Masuda, Atsunori
Asano, Fumihiro
Tsuzuku, Akifumi
Sobajima, Takuya
Murakami, Anri
Matsuno, Yoshihiko
Hirata, Kazuhiro
Matsunami, Kunihiro
Imamura, Atsushi
description The patient was a 5-year-old boy who was transported to our hospital for a paroxysmal cough, disturbance of consciousness, tonic-clonic convulsions and labored breathing. The patient's respiratory failure persisted after the convulsions remitted, and the presence of an endobronchial foreign body was suspected based on the findings of chest CT performed the following day. A peanut was subsequently removed from the right main bronchus using a bronchoscope with tracheal intubation and bag valve mask ventilation. Immediately after removal, the patient rapidly developed exacerbated hypoxemia, and a reduction in right lung lucency was noted on chest radiography. He was therefore diagnosed with type II postobstructive pulmonary edema, and his condition improved within a short period of time.
doi_str_mv 10.2169/internalmedicine.54.3027
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The patient's respiratory failure persisted after the convulsions remitted, and the presence of an endobronchial foreign body was suspected based on the findings of chest CT performed the following day. A peanut was subsequently removed from the right main bronchus using a bronchoscope with tracheal intubation and bag valve mask ventilation. Immediately after removal, the patient rapidly developed exacerbated hypoxemia, and a reduction in right lung lucency was noted on chest radiography. 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subjects Bronchi - surgery
bronchoscopy
Child, Preschool
endobronchial foreign body
Epilepsy, Tonic-Clonic - etiology
Foreign Bodies - complications
Foreign Bodies - surgery
Humans
Hypoxia - etiology
Intubation, Intratracheal
Male
negative pressure pulmonary edema
postobstructive pulmonary edema
Pulmonary Edema - etiology
Respiration, Artificial
Tomography, X-Ray Computed
title Postobstructive Pulmonary Edema that Developed Immediately after the Removal of an Endobronchial Foreign Body
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