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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
PLASTIC BRONCHITIS PRESENTING AS HEMOPTYSIS IN ICU
Author
Prashanth. S, Pradeep M. Venkategowda*, Ashwini Murthy, Potti Jagadeesh Kumar
Email
drpradeepmarur@gmail.com
keyword
Cast, Breathlessness, Hypoxia, Hypercoagulable state. Cast, Breathlessness, Hypoxia, Hypercoagulable state. Cast, Breathlessness, Hypoxia, Hypercoagulable state. Cast, Breathlessness, Hypoxia, Hypercoagulable state. Cast, Breathlessness, Hypoxia, Hype
Abstract
Plastic bronchitis is the most common cause of bronchial cast. It is associated with diseases causing mucus hyper secretion. They usually take the shape of bronchial tree. It is often expectorated or sometimes requires bronchoscopic removal. This is a case report of 56 years old male presented with complains of pain abdomen and vomiting since 2 days. Found to have superior mesenteric artery thrombosis with small bowel gangrene on contrast CT abdomen and he underwent exploratory laparotomy and bowel resection along with anastomosis. During his stay in hospital he had massive hemoptysis (5-6 episodes) and was shifted to MICU and intubated. Bronchoscopy has done which revealed extensive bronchial casts filling entire trachea and blocking tracheo-bronchial tree. He underwent piece meal removal of the same over two days. Histopathology showed multiple sections reveal sparse moderate inflammatory cells entangled in fibrin. Patient improved symptomatically and discharged with stable hemodynamics.
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