An Unusual Case of Fractured Tracheostomy Tube as a Foreign Body in Right Main Bronchus: A Case Report

Abstract

In this case report, we have discussed a case of a 10-year-old boy presented with one day history of progressively worsening respiratory distress, cough, and stridor. Patient was a follow-up case of GBS with tracheostomy tube in situ. This time, he presented with fractured PVC tracheostomy tube from the junction of neck plate and tubular tracheal piece. The dislodged tubular part of the tracheostomy tube had gotten stuck in the trachea and right main bronchus at the level of the carina which was confirmed by radiological investigation. The procedure of the foreign body removal and anaesthetic challenges are also discussed in this report in detail. The aim of this study is to spread awareness among ENT specialists and general physicians about the possibility of PVC tracheostomy tube fracture and aspiration, as it is essential for the doctors to counsel the attendants on what to do when scenario like the one mentioned above, occurs.