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Case Report 
RMJ. 2019; 44(3): 652-653


Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report

Jung Soo Kim, Sung Yong Hong, Mi Ra Kim, Se Hun Kim.


Abstract
A 67-year-old woman underwent craniotomy and clipping of anterior communicating artery aneurysm. On the tenth postoperative day, she underwent tracheostomy uneventfully. On the fortieth postoperative day, sudden massive bleeding occurred around the tracheostomy site. After orotracheal intubation was performed to explore the tracheostomy site, desaturation and increase in airway pressure occurred. On the physical examinations, this situation looked like a pneumothorax. However, chest radiography revealed a hyperinflation at the affected lung. Flexible bronchoscopy at bedside revealed a large blood clot obstructing the left main bronchus. Ipsilateral lung hyperinflation resulted from the blood clot that acted as one-way valve in the bronchus. Airway obstruction like this situation can be confused as a tension pneumothorax.

Key words: Airway obstruction, endobronchial blood clot, tracheostomy, pneumothorax.


 
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How to Cite this Article
Pubmed Style

Kim JS, Hong SY, Kim MR, Kim SH. Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. RMJ. 2019; 44(3): 652-653.

Web Style

Kim JS, Hong SY, Kim MR, Kim SH. Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. https://www.rmj.org.pk/?mno=35107 [Access: October 30, 2025].

AMA (American Medical Association) Style

Kim JS, Hong SY, Kim MR, Kim SH. Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. RMJ. 2019; 44(3): 652-653.


Vancouver/ICMJE Style

Kim JS, Hong SY, Kim MR, Kim SH. Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. RMJ. (2019), [cited October 30, 2025]; 44(3): 652-653.


Harvard Style

Kim, J. S., Hong, . S. Y., Kim, . M. R. & Kim, . S. H. (2019) Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. RMJ, 44 (3), 652-653.


Turabian Style

Kim, Jung Soo, Sung Yong Hong, Mi Ra Kim, and Se Hun Kim. 2019. Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. Rawal Medical Journal, 44 (3), 652-653.


Chicago Style

Kim, Jung Soo, Sung Yong Hong, Mi Ra Kim, and Se Hun Kim. "Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report." Rawal Medical Journal 44 (2019), 652-653.


MLA (The Modern Language Association) Style

Kim, Jung Soo, Sung Yong Hong, Mi Ra Kim, and Se Hun Kim. "Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report." Rawal Medical Journal 44.3 (2019), 652-653. Print.


APA (American Psychological Association) Style

Kim, J. S., Hong, . S. Y., Kim, . M. R. & Kim, . S. H. (2019) Acute bronchial obstruction arising from an endobronchial blood clot and confused as a pneumothorax: a case report. Rawal Medical Journal, 44 (3), 652-653.


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