Acute airway obstruction by a mucus plug in a patient with a 12-year history of inserting a double cannula tracheostomy tube: A case report

Author:

Miyata Jun12ORCID,Dateoka Kaname12,Yoshioka Tetsuya12

Affiliation:

1. Department of Family Medicine, Medical Center for the Entire Family, Keiju Medical Center, Nanao, Japan

2. Keiju Laurel Clinic, Nanao, Japan

Abstract

Acute airway obstruction long after tracheostomy has rarely been reported. An 81-year-old Japanese woman with a tracheostomy tube for 12 years developed a 2-day history of coughing-up sputum with difficulty, foreign body sensation, and mild dyspnea. Dyspnea worsened immediately after computed tomography, showing soft tissue opacity between the tip of the tracheostomy tube and the bronchi. A movable mass in the trachea, identified as mucus by pathological examination, was removed using bronchoscopy. Acute airway obstruction by a mucus plug potentially occurred with a long history of insertion of a tracheostomy tube. Emergency imaging studies and bronchoscopy were useful for management.

Publisher

SAGE Publications

Subject

General Medicine

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