Bronchoscopic visualization of a cavity in entirety: an unusual finding

Mishra, Deebya Raj; Bhatta, Narendra; Acharya, Achyut Bhakta; Verma, Avatar; Shahi, Rejina; Shah, Niharika

doi:10.1002/rcr2.649

Cited by 3 publications

(2 citation statements)

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“…Bronchoscopic appearance of a lung cavity has been previously described in a few reports. 8 – 10 Previous reports have used different terminologies in describing the inside of lung cavity seen on bronchoscopy. For example, a web-blog post described it as the “black hole sign” referring to the darkness of the inside of the cavity due to lack of reflection of light from the bronchoscope.…”

Section: Discussionmentioning

confidence: 99%

Bronchoscopic view of post-tuberculosis lung cavity: A case report

Moledina,

Thangakunam

2023

SAGE Open Medical Case Reports

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An elderly male, a former smoker, was evaluated at the pulmonary medicine clinic for recurrent episodes of streaky hemoptysis for the last 3 years. He had a history of being successfully treated for microbiologically confirmed pulmonary tuberculosis in the past. He presented in this consultation with two episodes of large volume hemoptysis, and the laboratory results suggested an ongoing active infection. Sputum smear was negative for an infectious etiology. Contrast-enhanced CT of the thorax revealed a lung cavity in the right upper lobe. He underwent flexible bronchoscopy with bronchoalveolar lavage which revealed Klebsiella pneumoniae infection. Small-diameter bronchoscope was used to navigate into the affected lung segment which revealed a cave-like appearance. This was an interesting finding and physicians should be familiar with such bronchoscopic findings and techniques in the management of their patients, particularly in tuberculosis endemic areas.

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Section: Discussionmentioning

confidence: 99%

Bronchoscopic view of post-tuberculosis lung cavity: A case report

Moledina,

Thangakunam

2023

SAGE Open Medical Case Reports

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“…Bronchoscopic visualization of the inner cavity is extremely unusual because it must be communicated with a dilated bronchus to introduce a bronchoscope. A few bronchoscopic studies showed inside the tuberculous cavity is composed of caseum necrotic debris [ 5 ]. In this patient, the underlying bronchiectasis allowed the passage of a bronchoscope into the cavity and visualization of lung architectural destruction.…”

Section: Introductionmentioning

confidence: 99%