Abstract
Surgery is one of the curative treatments for patients with tracheobronchial tumours. And endoscopic debridement is one of the palliative therapies for unresectable tumour. Respiratory distress is the commonest complication that can occur in both the procedures. We present the case of 25 year old patient of adenoid cystic carcinoma of lower trachea and left bronchus. He had respiratory distress after induction of anaesthesia which was managed successfully with one lung anaesthesia with single lumen endobronchial tube. It was inoperable tumour and after endobronchial debridement he had episode of tumour embolism to oppossite bronchus causing respiratory distress. This was detected immediately and managed successfully with flexible bronchoscopy.
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