After a month, the narrowed part of the oesophagus was dilated, but simultaneously the doctors detected a suspected fistulous communication between the stricture and the left bronchus
During the procedure, a suspected fistulous communication was detected between the stricture and the left bronchus
They eventually intubated the left bronchus
through the surgical field.
Computed tomography of the chest revealed right lung agenesis with resultant complete dextroposition of the heart, compression of the distal trachea, and proximal left bronchus
beneath the aorta (Figure 2).
Entry into the right main bronchus is more often than into left bronchus
as the right bronchus is straight in line with trachea, shorter and more in diameter.
5 reinforced tube was introduced through the left bronchus
to aid ventilation of the left lung.
Osseous pinch caused by compression of the chest wall with concomitant rupture of the aorta and transection of the left bronchus
seems to be the most likely mechanism in this case.
FIGURE 2 OMITTED] The patient, after preoperative preparation, is diagnosed with bilateral echinococcosis of the lungs, rupture of echinococcosis cyst in the left bronchus
and respiratory insufficiency of the II degree.
Another possible cause of desaturation during bronchoscopy may be a combination of an occluded right main bronchus due to a foreign body, with a non-ventilated left bronchus
due to the ventilating tip of the bronchoscope being in the right bronchus.
A fiberoptic bronchoscopy revealed a whitish lesion at the left bronchus
Initially, a partially covered SEMS was inserted into the main left bronchus
with a distal opening into the left lower lobe bronchus (length 30 mm, diameter 8 mm).
It was challenging in our case because we had to intubate the left bronchus