PMC3920347_01
Chest X-ray at admission (A) and 1 month later (B).
gr1.jpg
PMC3920347_01_gr1.jpg
fig1
The chest radiography at admission showed bronchial opacities involving the right upper lung lobe, corresponding to gypsum accumulation (Fig. 1A). Control chest radiography showed clearance of the bronchial opacities without signs of residual gypsum depositions or infiltrates (Fig. 1B).
Flexible bronchoscopy showing gypsum deposits in the trachea (A) and distal bronchi (B: view in the lower right lobe). After aspiration the trachea was free of gypsum particles (C).
gr2.jpg
PMC3920347_01_gr2.jpg
fig2
Emergency bronchoscopy was performed and revealed gypsum deposits (in form of chunks) in the entire bronchial system (Fig. 2A and B) proofing bronchial aspiration of a large amount of gypsum powder. We removed gypsum deposits by bronchoscopy from the main airways by aspiration without rinsing to avoid further exothermic chemical reactions (Fig. 2C).