case_images: PMC4387587_01
case_images: Atelectasis of the right lower and middle lobe.
case_images: 40248_2015_2_Fig1_HTML.jpg
case_images: PMC4387587_01_40248_2015_2_Fig1_HTML.jpg
case_images: Fig1
case_images: A CT scan showed atelectasis of the right lower and middle lobes (Figure 1).
case_images: Plugs blocking the right lower and middle lobar bronchus.
case_images: 40248_2015_2_Fig2_HTML.jpg
case_images: PMC4387587_01_40248_2015_2_Fig2_HTML.jpg
case_images: Fig2
case_images: Respironics swivel connector to ensure adequate gas exchange. Right lower and middle lobe bronchi were almost completely occluded by bronchus-shaped plugs (Figure 2).
case_images: Bronchus-shaped plug.
case_images: 40248_2015_2_Fig3_HTML.jpg
case_images: PMC4387587_01_40248_2015_2_Fig3_HTML.jpg
case_images: Fig3
case_images: The removal of the plugs was very hard despite repeated washings with physiological saline and mechanical fragmentation with forceps (Figure 3).
case_images: At histologic examination, the plug consisted mainly of fibrin mixed with some mucus, scattered inflammatory cells, and some small aggregates of bronchial cells. Haematoxylin-Eosin, 40X.
case_images: 40248_2015_2_Fig4_HTML.jpg
case_images: PMC4387587_01_40248_2015_2_Fig4_HTML.jpg
case_images: Fig4
case_images: The histological analysis of the plugs demonstrated a massive presence of fibrin with mucus debris, rare Charcot-Leyden crystals, scattered macrophages, neutrophils, eosinophils and bronchial epithelial cells (Figure 4).