Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.12.009
Brazilian Journal of Anesthesiology
Case Report

Gastric rupture during fiberoptic bronchoscopy, a rare complication of oxygen administration by nasopharyngeal cannula: a case report

Inês Sucena Pereira, Luisa Ferreira, Eduarda Tinoco, Teresa Shiang, Ana Oliveira, Ana Isabel Pereira

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Abstract

Concomitant use of a nasopharyngeal catheter is frequently used for oxygen supply during fiberoptic bronchoscopy (FOB). This is a procedure that presents possible complications that are not negligible. We demonstrate the case of a 61-year-old woman who underwent FOB due to a history of hemoptoic sputum. During the procedure, gastric rupture occurred with a large pneumoperitoneum and bilateral pneumothorax requiring immediate drainage of the air and an emergent laparotomy. This was probably a complication of the nasopharyngeal catheter. The knowledge of these complications is essential for their correct identification and treatment.

Keywords

Bronchoscopy;  Gastric rupture;  Pneumothorax;  Pneumoperitoneum;  Cardiac arrest  

References

1 IA Du Rand, J Blaikley, R Booton, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE Thorax, 68 (Suppl 1) (2013), pp. i1-i44

2 K El-Kersh, H. Karnib Tension pneumoperitoneum associated with nasopharyngeal catheter oxygen delivery during bronchoscopy Am J Respir Crit Care Med, 196 (2017), pp. 785-786

3 AG Velando, MJR Nieto, Aldeyturriaga Perforación gástrica durante la broncoscopia al administrar oxigenoterapia por cánula nasofaríngea Arch Bronconeumol, 54 (2018), pp. 293-294

4 HHI Yao, MV Tuck, C Mcnally, et al. Gastric rupture following nasopharyngeal catheter oxygen delivery - a report of two cases Anaesth Intensive Care, 43 (2015), pp. 244-248

5 M Cigada, A Gavazzi, E Assi, et al. Gastric rupture after nasopharyngeal oxygen administration Intensive Care Med, 27 (2001), p. 939

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Braz J Anesthesiol

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