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

Atsunori Masuda; Fumihiro Asano; Akifumi Tsuzuku; Takuya Sobajima; Anri Murakami; Yoshihiko Matsuno; Kazuhiro Hirata; Kunihiro Matsunami; Atsushi Imamura

doi:10.2169/internalmedicine.54.3027

CASE REPORTS

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

Atsunori Masuda, Fumihiro Asano, Akifumi Tsuzuku, Takuya Sobajima, Anri Murakami, Yoshihiko Matsuno, Kazuhiro Hirata, Kunihiro Matsunami, Atsushi Imamura

Author information

Atsunori Masuda
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Fumihiro Asano
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Akifumi Tsuzuku
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Takuya Sobajima
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Anri Murakami
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Yoshihiko Matsuno
Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
Kazuhiro Hirata
Department of Pediatrics, Gifu Prefectural General Medical Center, Japan
Kunihiro Matsunami
Department of Pediatrics, Gifu Prefectural General Medical Center, Japan
Atsushi Imamura
Department of Pediatrics, Gifu Prefectural General Medical Center, Japan

Keywords: bronchoscopy, endobronchial foreign body, negative pressure pulmonary edema, postobstructive pulmonary edema

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 5 Pages 497-502

DOI https://doi.org/10.2169/internalmedicine.54.3027

Details

Abstract

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.

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