Severe hypoxia following video capsule endoscopy

  • Adil T. Degani | atdegani@hotmail.com Medical College of Georgia, GA, United States.
  • Caralee J. Forseen Medical College of Georgia, GA, United States.
  • Albert S.Y. Chang Medical College of Georgia, GA, United States.

Abstract

Video capsule endoscopy is generally associated with gastrointestinal complications, but there have been few instances of asymptomatic aspiration. We present a 74-year-old male being evaluated for gastrointestinal bleed. A video capsule was deployed with no acute respiratory symptoms. However, after airway intubation for emergent gastrointestinal surgery, he developed profound hypoxia. The video capsule was found to be completely occluding his left main stem bronchus. Due to a significantly surgically altered airway secondary to previous head and neck carcinoma and the capsule’s difficult size and shape, the capsule was dislodged only through the use of a Fogarty catheter with eventual removal from the oropharynx using forceps.

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Author Biographies

Adil T. Degani, Medical College of Georgia, GA

Sleep Medicine Fellow

Jefferson Sleep Disorders Center

Caralee J. Forseen, Medical College of Georgia, GA

Assistant Professor of Medicine

Section of Pulmonary and Critical Care Medicine

Albert S.Y. Chang, Medical College of Georgia, GA

Assistant Professor of Surgery

Division of Cardiovascular and Thoracic Surgery

Published
2011-09-29
Info
Issue
Section
Case Reports
Supporting Agencies
None
Keywords:
bronchoscopy, video capsule, aspiration.
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  • Abstract views: 694

  • PDF: 1263
How to Cite
Degani, A., Forseen, C., & Chang, A. (2011). Severe hypoxia following video capsule endoscopy. Chest Disease Reports, 1(1), e12. https://doi.org/10.4081/cdr.2011.e12