Right upper lobe collapse secondary to an anomalous bronchus after endotracheal intubation for routine surgery.

Abstract

Perioperative hypoxaemia is a common but serious problem with well recognised causes. However, an anomalous bronchus causing lobar collapse as a cause is seldom mentioned. A healthy young male patient was anaesthetised for a knee operation. He required re-intubation immediately postoperatively for hypoxia. He was found to have right upper lobe collapse. Fibreoptic examination of the trachea demonstrated an anomalous bronchus as the cause. Intra-operatively, the endotracheal tube had been inserted too deeply and the bronchial orifice had been obstructed by the tip. It took several hours for the lung to re-expand. Greater awareness of this potential complication is needed.

Cite this paper

@article{Critchley2007RightUL, title={Right upper lobe collapse secondary to an anomalous bronchus after endotracheal intubation for routine surgery.}, author={Lester Critchley and Anthony M. H. Ho and Shara Wee Yee Lee}, journal={Anaesthesia and intensive care}, year={2007}, volume={35 2}, pages={274-7} }