Online ISSN: 2515-8260

Keywords : Bronchoscopy


Pneumonia on Imaging, Endobronchial Tumour on Bronchoscopy but Actually a Foreign Body – a Case Report

Dr. Robin Singh Bhatti, Dr. Mahavir Bagrecha, Dr. Harshmeet Singh Gujral

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 818-823

Common cough being a common presenting complaint in pulmonary medicine is often misdiagnosed. Endobronchial foreign body is a rare diagnosis in adults and varies in presentation from patient to patient.  We present a case of chronic cough in a 65 year old male being misdiagnosed as infective etiology on imaging, neoplastic mass on bronchoscopy eventually being diagnosed as a corn kernel in the subsegmental bronchus.
The case report highlights the value of a strong clinical suspicion to diagnose such cases and the importance a good experienced clinician in identifying such etiologies.

“ENDOBRONCHIAL INSTILLATION OF TRANEXAMIC ACID TO CONTROL BLEEDING DURING BRONCHOSCOPIC PROCEDURE”

Dr. Anusha G N , Dr. Ajit Harsha , Dr. Srikanth Katare , Dr. Alamelu Haran

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 6451-6458

Background: Bronchoscopy is one of the most commonly performed safe procedures worldwide by pulmonologists for diagnostic and therapeutic purposes. It has a few complications such as bleeding, bronchospasm, laryngospasm, iatrogenic infections, atelectasis, and pneumothorax. The incidence of bleeding is low and rarely life-threatening, with a mortality rate of 0-0.04%. The greatest danger in a bleeding situation is aspiration and blood flooding of the alveoli (1,2). Cold saline is now regularly used to reduce bleeding during bronchoscopic operations, and other drugs such as adrenaline and terlipressin have also been employed. but either connected with difficulties or a scarcity of research (9,10). As a result, this study was conducted since there have been few studies on tranexamic acid, which requires greater assessment in terms of efficacy and safety. As a result, we conducted this study to evaluate the effectiveness and safety of tranexamic acid endobronchial instillation. OBJECTIVES: To assess the effectiveness and safety of tranexamic acid endobronchial instillation. METHODS AND MATERIALS: 50 Patients with endoscopically evident tumours and active bleeding were randomly separated into two groups of 25. The first group got 500mg of inj. tranexamic acid diluted in 20ml normal saline was administered through the bronchoscope for three efforts, whereas the second group received 20ml of cold saline for two attempts. After each try, 60-90 seconds were watched for bleeding cessation and hemostasis. RESULT: Endobronchial instillation of tranexamic acid stopped bleeding in all 25 cases (100%), whereas cold saline controlled bleeding in just 2 (8%) of the 25 patients.  The cold saline group had 84%(21) of the patients hypoxemia and 36%(9) had severe cough, however, the tranexamic acid group had no side effects

To study the role of HRCT & flexible fiberoptic bronchoscopy in diagnosis of interstitial lung disease

Dr. Rahaman Tanzil, Dr. Srikanth Ravoori, Dr. Md. Mateenuddin Saleem

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3458-3466

Background: High-resolution computed tomography (HRCT) is more sensitive than plain chest radiograph in distinction of ILD (affectability more conspicuous than 90%) and the image illustration of parenchymal peculiarities on HRCT consistently propose a particular course of action of scientific abnormalities.
Aim: To assess the usefulness of HRCT chest and flexible optic bronchoscopy concerning Bronchoalveolar lavage cellular analysis in the diagnosis of interstitial lung disease. Materials and Methods: A prospective observational study was conducted at tertiary hospital in south India. 50 patients who are suspected to have interstitial lung infection by clinical assessment and history with manifestations and signs are assessed with HRCT chest and HRCT affirmed patients are exposed to fiber optic bronchoscopy and bronchoalveolar lavage is performed and their cytological profiles are investigated.
Results: The mean age of the patients was 50.18 years (SD ±14.3), with an age range from 18 to 70years and most of the study subjects were males. Dyspnoea was the most common presenting symptom (90% of patients), followed by cough (84%) and least is dysphagia (6%). In one young female, a cystic pattern was seen on HRCT with multiple diffuse thin-walled cysts which made us to make a diagnosis of LAM.
Conclusion:Thus, HRCT and BAL when combined, help us in making a confident diagnosis of ILD, obviating the need of a lung biopsy which is not feasible in routine practice due to lack of expertise, facilities and patient reluctance in undergoing a biopsy procedure.

Broncial foreign body: A case report

Dr.Raju Naik Azmeera, Dr. Sunil, 3Dr. Nandini S, Dr.Lakhpathi, Dr. Parushuram

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1562-1566

Exogenous foreign bodies in the tracheo bronchial tree are particularly common.
Complications are related to site, size, shape, nature and duration of foreign body.
Foreign body aspiration is associated with significant morbidity. Awareness of these
possible complications and a high index of suspicion is the key to successful
management. We report a case of bronchial foreign body in a 32 year old male patient
who had accidentally ingested a metallic foreign body. Foreign body was removed
successfully without complications.