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Eur J Cardiothorac Surg 2005;28:768
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Acute respiratory distress caused by gravel blocking the bronchial tree

Jacques Jougon * , Antonio Minniti, Jean François Velly

Department of Thoracic Surgery Haut-Lévêque Hospital, University Victor Ségalen Bordeaux 2, avenue de Magellan, 33604 Pessac, France

Received 12 July 2005; accepted 25 July 2005.

* Corresponding author. Tel: +33 557656009; Fax: +33 557656021. (Email: jacques.jougon{at}chu-bordeaux.fr).

Key Words: Bronchial tree-foreign body • Therapeutic endoscopy • Airway obstruction

A man riding a bike crashed against a bridge and fell into a river. He was rescued just before drowning. Chest radiography and CT scan showed gravel filling almost all his bronchial tree. Three hours were necessary to take out all the gravel by rigid bronchoscopy (Figs. 1 and 2 ).


Figure 1
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  		Fig. 1. Frontal CT scan showing gravel blocking the bronchial tree. Only the right upper bronchus lobe is free.

 

Figure 2
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  		Fig. 2. Endoscopic view showing one of the pieces of gravel.

 





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