Haunted cave appearance during bronchoscopy: A new sign in post-tuberculosis destroyed lung

Mishra, Mayank; Ajeesh, K.P.

doi:10.1016/j.jctube.2023.100363

Cited by 1 publication

(3 citation statements)

References 7 publications

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“…11 Another case report from India has described it as "haunted cave sign," although in this case, the patient had a destroyed lung as opposed to a single lung cavity as was the case in our patient. 11 Use of ultrathin bronchoscopes to visualize and sample peripheral lung cavities has also been described previously by some authors. [12][13][14] However, in all these cases, the cause of the lung cavity was a chronic fungal infection.…”

Section: Discussionmentioning

confidence: 44%

“…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. 11 Another case report from India has described it as “haunted cave sign,” although in this case, the patient had a destroyed lung as opposed to a single lung cavity as was the case in our patient. 11 …”

Section: Discussionmentioning

confidence: 46%

“… 11 Another case report from India has described it as “haunted cave sign,” although in this case, the patient had a destroyed lung as opposed to a single lung cavity as was the case in our patient. 11 …”

Section: Discussionmentioning

confidence: 46%

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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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