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Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report
Although rigid bronchoscopy may lead to tracheal injury, the incidence is unknown. A 59-year-old woman diagnosed with clinical stage IV esophageal cancer was scheduled to undergo placement of a silicon Y-stent by rigid bronchoscopy to address tracheal stenosis. When the tumor was cored out by rigid...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577008/ https://www.ncbi.nlm.nih.gov/pubmed/37846414 http://dx.doi.org/10.1093/jscr/rjad356 |
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author | Motono, Nozomu Mizoguchi, Takaki Ishikawa, Mashahito Iwai, Shun Iijima, Yoshihito Uramoto, Hidetaka |
author_facet | Motono, Nozomu Mizoguchi, Takaki Ishikawa, Mashahito Iwai, Shun Iijima, Yoshihito Uramoto, Hidetaka |
author_sort | Motono, Nozomu |
collection | PubMed |
description | Although rigid bronchoscopy may lead to tracheal injury, the incidence is unknown. A 59-year-old woman diagnosed with clinical stage IV esophageal cancer was scheduled to undergo placement of a silicon Y-stent by rigid bronchoscopy to address tracheal stenosis. When the tumor was cored out by rigid bronchoscopy, perforation of the lower trachea occurred, and a silicon Y-stent was inserted to cover the tracheal fistula. Chest X-ray revealed right pneumothorax, and chest drainage was performed. When spontaneous ventilation was confirmed, the patient was weaned from the ventilator in the operating room. Chest computed tomography immediately after surgery showed an air space on the right side of the stent. The space gradually disappeared over time, and no air leakage was observed. The chest drain was removed on postoperative Day 12. Conservative treatment using a silicon Y-stent for iatrogenic tracheal injury due to rigid bronchoscopy is safe. |
format | Online Article Text |
id | pubmed-10577008 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105770082023-10-16 Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report Motono, Nozomu Mizoguchi, Takaki Ishikawa, Mashahito Iwai, Shun Iijima, Yoshihito Uramoto, Hidetaka J Surg Case Rep Case Report Although rigid bronchoscopy may lead to tracheal injury, the incidence is unknown. A 59-year-old woman diagnosed with clinical stage IV esophageal cancer was scheduled to undergo placement of a silicon Y-stent by rigid bronchoscopy to address tracheal stenosis. When the tumor was cored out by rigid bronchoscopy, perforation of the lower trachea occurred, and a silicon Y-stent was inserted to cover the tracheal fistula. Chest X-ray revealed right pneumothorax, and chest drainage was performed. When spontaneous ventilation was confirmed, the patient was weaned from the ventilator in the operating room. Chest computed tomography immediately after surgery showed an air space on the right side of the stent. The space gradually disappeared over time, and no air leakage was observed. The chest drain was removed on postoperative Day 12. Conservative treatment using a silicon Y-stent for iatrogenic tracheal injury due to rigid bronchoscopy is safe. Oxford University Press 2023-10-15 /pmc/articles/PMC10577008/ /pubmed/37846414 http://dx.doi.org/10.1093/jscr/rjad356 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Motono, Nozomu Mizoguchi, Takaki Ishikawa, Mashahito Iwai, Shun Iijima, Yoshihito Uramoto, Hidetaka Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title | Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title_full | Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title_fullStr | Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title_full_unstemmed | Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title_short | Iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
title_sort | iatrogenic tracheal laceration due to rigid bronchoscopy treated by endoscopic stent placement: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577008/ https://www.ncbi.nlm.nih.gov/pubmed/37846414 http://dx.doi.org/10.1093/jscr/rjad356 |
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