PMC4760028_01
Contrast enhanced computed tomography axial (a) and coronal (b) images in mediastinal window showing endobronchial mass in left main bronchus (arrow) projecting into the carina. Coronal image (b) showing the left lung collapse (*)
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F1
Contrast-enhanced computed tomography of the chest showed an endobronchial soft tissue mass involving the left main stem bronchus extending to left lower lobe bronchus [Figure 1a and b] which looked like a bronchial adenoma.
Contrast enhanced computed tomography coronal (c) lung window and virtual bronchoscopy (d) images showing endobronchial mass in left main bronchus (arrow). Note the normal right main bronchus (long thick arrow) and upper part of carina (*)
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F2
The rigid direct laryngoscope was introduced, and the mass could be visualized at the carina occupying the major part of the tracheal lumen and obstructing the left main stem bronchus [Figure 2c and d].
Image of the micro-debrider (A) and the rigid direct laryngoscope (B) through which the micro-debrider is inserted
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F3
Dissection of the tracheal mass was attempted via the oral route with a micro-debrider [Figure 3A and B] after withdrawing the ETT, but it started to bleed profusely.
Schematic image showing the exact position of endotracheal tube and micro-debrider through the rigid laryngoscope while approaching the tumor (T)
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F4
A 6 mm ETT passed through the stoma to the right main bronchus and a smaller scope was also introduced through the stoma, and the tumor could be resected completely using micro-debrider from the carina and the left main bronchus [Figure 4].