PMC7078452_01
Chest x-ray after intubation showing hyperlucent left hemithorax with mediastinal shift to the contralateral side and flatting of ipsilateral hemidiaphragm.
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Chest x-ray was done after intubation and showed Endotracheal Tube (ETT) in good position, hyperlucent left hemithorax, flatting of ipsilateral hemidiaphragm, mediastinal shift to the right, and a radiopaque areain the left main bronchus (Fig. 1).
Foreign body obstructing the trachea at the level of tracheal bifurcation. A right tracheal bronchial orifice is seen.
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While maintaining ventilation through the side port of the rigid bronchoscope, a foreign body was seen stuck in the trachea at the level of the carina, and a large right accessory tracheal bronchus was noted above the level of the foreign body (Fig. 2).
Foreign body was the eraser part of a pencil (no popcorn pieces).
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The foreign body was successfully retrieved as one piece under vision using fiberoptic forceps (Fig. 3).
After removal of foreign body, re-examination revealed a clear airway with confirmed right tracheal bronchus.
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A second look at the airway was done to exclude any other injuries and revealed a clear airway with no remaining foreign body and confirmed the presence of a right tracheal bronchus (Fig. 4).
Repeated chest x-ray showing satisfactory ETT position and absence of pneumothorax.
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PaCO2 of 141, and PaO2 of 40.3. Portable chest x-ray confirmed the ETT position and the absence of pneumothorax (Fig. 5).