Here we describe the first report of a foreign body leading to a hepatic abscess where the object was identified by colonoscopy. In addition, we present a comprehensive literature review examining the method of identification of gastrointestinal foreign bodies that led to liver abscesses. These findings emphasize that in cases of hepatic abscesses of unknown etiology, direct visualization by colonoscopy may be a useful tool to elucidate the cause of the abscess.
Massive hemoptysis is a life-threatening emergency encountered by bronchoscopists. Oftentimes stabilizing these patients requires use of selective lung intubation. We present 2 cases of massive hemoptysis secondary to malignancies. Both cases required an extralong endotracheal tube to accomplish selective lung isolation. We used a unique technique of constructing an extralong endotracheal tube from 2 regular endotracheal tubes at the bedside. The extralong endotracheal tube was guided bronchoscopically into the left mainstem bronchus allowing us to selectively intubate the patient's uninvolved lung. Given this ongoing experience, development of an array of extended length endotracheal tubes should be considered. Until that time comes, our technique may be useful to others in managing this very difficult clinical situation.
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