Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’
Abstract Background There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an e...
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doaj-67cd900d2b274522b4185ed30348209b2020-11-25T02:33:58ZengBMCBMC Pulmonary Medicine1471-24662019-07-011911710.1186/s12890-019-0873-zCase report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’Thomas Crowhurst0Joshua Lightfoot1Aeneas Yeo2Benjamin Reddi3Phan Nguyen4Helen Whitford5Chien-Li Holmes-Liew6Discipline of Medicine, University of AdelaideIntensive Care Unit, Central Adelaide Local Health Network, Royal Adelaide HospitalDiscipline of Medicine, University of AdelaideIntensive Care Unit, Central Adelaide Local Health Network, Royal Adelaide HospitalDiscipline of Medicine, University of AdelaideDepartment of Respiratory Medicine, The Alfred HospitalDiscipline of Medicine, University of AdelaideAbstract Background There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an example of a rare indication for high-risk lung transplantation. Case presentation A 47-year-old man developed multiple recurrent bronchial web-like stenoses five weeks after an episode of severe tracheo-bronchitis presumed secondary to a chemical inhalation injury which initially caused complete bilateral lung collapse necessitating veno-venous extracorporeal membrane oxygenation. The stenoses completely effaced bronchi in many locations causing severe type II respiratory failure requiring mechanical ventilation and bronchoscopic puncture / dilatation then ultimately bilateral lung transplantation. Conclusion This very rare case highlights the morbid sequelae that can arise after catastrophic tracheobronchitis which now, in the era of extracorporeal membrane oxygenation, may be survivable in the short-term.http://link.springer.com/article/10.1186/s12890-019-0873-zInhalation injuryExtra-corporeal membrane oxygenationBronchial web-like stenosesInterventional pulmonologyLung transplantation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thomas Crowhurst Joshua Lightfoot Aeneas Yeo Benjamin Reddi Phan Nguyen Helen Whitford Chien-Li Holmes-Liew |
spellingShingle |
Thomas Crowhurst Joshua Lightfoot Aeneas Yeo Benjamin Reddi Phan Nguyen Helen Whitford Chien-Li Holmes-Liew Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ BMC Pulmonary Medicine Inhalation injury Extra-corporeal membrane oxygenation Bronchial web-like stenoses Interventional pulmonology Lung transplantation |
author_facet |
Thomas Crowhurst Joshua Lightfoot Aeneas Yeo Benjamin Reddi Phan Nguyen Helen Whitford Chien-Li Holmes-Liew |
author_sort |
Thomas Crowhurst |
title |
Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_short |
Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_full |
Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_fullStr |
Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_full_unstemmed |
Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_sort |
case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
publisher |
BMC |
series |
BMC Pulmonary Medicine |
issn |
1471-2466 |
publishDate |
2019-07-01 |
description |
Abstract Background There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an example of a rare indication for high-risk lung transplantation. Case presentation A 47-year-old man developed multiple recurrent bronchial web-like stenoses five weeks after an episode of severe tracheo-bronchitis presumed secondary to a chemical inhalation injury which initially caused complete bilateral lung collapse necessitating veno-venous extracorporeal membrane oxygenation. The stenoses completely effaced bronchi in many locations causing severe type II respiratory failure requiring mechanical ventilation and bronchoscopic puncture / dilatation then ultimately bilateral lung transplantation. Conclusion This very rare case highlights the morbid sequelae that can arise after catastrophic tracheobronchitis which now, in the era of extracorporeal membrane oxygenation, may be survivable in the short-term. |
topic |
Inhalation injury Extra-corporeal membrane oxygenation Bronchial web-like stenoses Interventional pulmonology Lung transplantation |
url |
http://link.springer.com/article/10.1186/s12890-019-0873-z |
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