Abstract

Rigid bronchoscopy for foreign body removal from lungs can cause life threatening complications like tension pneumothorax. A timely diagnosis and active management can prevent devastating events. A two years old child who developed tension pneumothorax after rigid bronchoscopy for foreign body removal was survived successfully because of multidisciplinary active management.

Highlights

  • Rigid bronchoscopy is a simple but challenging procedure for foreign body removal specially in pediatric age group

  • Pneumothorax is a rare but major complication which can arise while manipulating lower airway during rigid bronchoscopy

  • We are reporting a challenging case of foreign body removal where a child developed tension pneumothorax in PICU setup and was managed with urgent Intercostal Draining tube placement

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Summary

Introduction

Rigid bronchoscopy is a simple but challenging procedure for foreign body removal specially in pediatric age group. Pneumothorax is a rare but major complication which can arise while manipulating lower airway during rigid bronchoscopy. The possibility of developing tension pneumothorax should be kept in mind specially in mechanically ventilated patients with constantly rising airway pressures. We are reporting a challenging case of foreign body removal where a child developed tension pneumothorax in PICU setup and was managed with urgent Intercostal Draining tube placement. As our patient is minor so the informed consent was taken from the parents for publishing this case report

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