Endotracheal tube obstructing pig bronchus

Case contributed by Dr Owen Kang

Presentation

Intoxicated and intubated. CPR performed. Is there a rib fracture?

Patient Data

Age: 23 years
Gender: Female

There is right upper lobe collapse, with an endotracheal tube observed obstructing a tracheal (pig) bronchus. Ill-defined opacification demonstrated in the right lower zone may relate to aspiration pneumonia and/or a pleural effusion.

Following retraction of the endotracheal tube, collapse of the right upper lobe has resolved. This plain radiograph was taken one day after the previous radiograph.

Case Discussion

This case illustrates the principle of collapse due to a malpositioned endotracheal tube. In this case, a tracheal bronchus was obstructed, with collapse quickly resolving following resolution.

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Case information

rID: 62863
Published: 2nd Sep 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Excluded

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