case_images: PMC7781711_01
case_images: Chest X-ray showed right-sided subcutaneous emphysema (red caret) with a small right-sided pneumothorax (black arrow).
case_images: CRIPU2020-8830361.001.jpg
case_images: PMC7781711_01_CRIPU2020-8830361.001.jpg
case_images: fig1
case_images: A portable anterior-posterior chest X-ray showed right-sided subcutaneous emphysema with a small right-sided pneumothorax (Figure 1).
case_images: Axial chest CT showed a sentinel pocket of gas adjacent to the right bronchial anastomotic site (black caret); an anterior pneumothorax (blue arrows) is also seen.
case_images: CRIPU2020-8830361.002.jpg
case_images: PMC7781711_01_CRIPU2020-8830361.002.jpg
case_images: fig2
case_images: CT of the thorax showed a moderate-sized right pneumothorax with spontaneous decompression into the anterior chest wall with subcutaneous emphysema, a sentinel pocket of air adjacent to the anastomotic site, and interstitial emphysema around the right lower lobe proximal bronchus, all of which were concerning bronchial dehiscence (Figure 2).
case_images: Bronchoscopy showed partial dehiscence of the right mainstem bronchus surgical anastomosis (blue arrow) directly opposite to the right upper lobe orifice (red carets) and distal to sutures.
case_images: CRIPU2020-8830361.003.jpg
case_images: PMC7781711_01_CRIPU2020-8830361.003.jpg
case_images: fig3
case_images: Bronchoscopy showed partial dehiscence of the right mainstem bronchus surgical anastomosis directly opposite to the right upper lobe orifice and distal to sutures with a surrounding stable hematoma and no bubbling apparent when flushed with saline (Figure 3).
case_images: Initial axial chest CT two weeks prior shows interstitial emphysema along the bronchovascular bundle (red arrows).
case_images: CRIPU2020-8830361.004.jpg
case_images: PMC7781711_01_CRIPU2020-8830361.004.jpg
case_images: fig4
case_images: Retrospective evaluation of the prior CT thorax two weeks after transplantation showed air tracking along the bronchovascular bundle, suggestive of interstitial emphysema (Figure 4).
case_images: Repeat bronchoscopy 32 days posttransplantation showed right mainstem bronchial anastomotic site dehiscence (red arrows).
case_images: CRIPU2020-8830361.005.jpg
case_images: PMC7781711_01_CRIPU2020-8830361.005.jpg
case_images: fig5