Complex Bronchoscopy Successfully Re-expands Collapsed Lung of 23-Year-Old Woman at PIMS
Udaipur: A 23-year-old woman from Pali, Rajasthan, who was referred to the Department of Respiratory Medicine at Pacific Institute of
Udaipur: A 23-year-old woman from Pali, Rajasthan, who was referred to the Department of Respiratory Medicine at Pacific Institute of Medical Sciences (PIMS), Umarda, with severe respiratory symptoms, was successfully treated through a complex bronchoscopy procedure.
The patient was admitted with complaints of breathlessness, left-sided chest pain, cough with sputum, fever, general weakness, weight loss, and loss of appetite. Initial investigations, including a chest X-ray and High-Resolution CT (HRCT) scan of the chest, revealed complete collapse of the left lung. Following the findings, the specialist team decided to perform an urgent bronchoscopy.
During the procedure, the doctors found that the left main bronchus was completely obstructed, preventing the bronchoscope from being advanced further. Bronchoalveolar lavage, brush cytology, and biopsy samples were obtained from the site of obstruction for further evaluation.
Subsequently, N-acetylcysteine was instilled to loosen and remove the accumulated mucus plug. The mucus plug was successfully cleared, restoring the airway. A chest X-ray performed after the procedure showed that the left lung had re-expanded, and the patient experienced significant improvement in her breathing.
Further investigations confirmed that the patient was suffering from endobronchial tuberculosis, following which appropriate anti-tubercular treatment was initiated.
The complex procedure was successfully performed by the bronchoscopy team and resident doctors under the guidance of Dr. Mayur Devraj, Dr. Raju Kottakota, Dr. Sanidhya Tak, Dr. Karan Raj Singhal, and Dr. Aniruddha Aaron.
Ashish Agrawal, Chairman of PIMS, said that the availability of advanced bronchoscopy facilities and experienced specialists at PIMS is enabling the timely and accurate diagnosis and management of complex respiratory diseases.
He emphasized that symptoms such as persistent cough, breathlessness, chest pain, fever, or unexplained weight loss should not be ignored, and patients should consult a specialist at the earliest. Timely investigations and appropriate treatment can significantly improve outcomes in serious lung diseases.
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