Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Postobstructive Pulmonary Edema that Developed Immediately after the Removal of an Endobronchial Foreign Body
Atsunori MasudaFumihiro AsanoAkifumi TsuzukuTakuya SobajimaAnri MurakamiYoshihiko MatsunoKazuhiro HirataKunihiro MatsunamiAtsushi Imamura
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ジャーナル オープンアクセス

2015 年 54 巻 5 号 p. 497-502

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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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© 2015 by The Japanese Society of Internal Medicine
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