Bronchoscopic resection of a tracheobronchial leiomyoma in a pregnant patient

K Falce; E Guy; D Hyman; T Hotze; D Lazarus; V Bandi; J Parchem; C Davidson; U Munnur

doi:10.1016/j.ijoa.2018.04.002

Bronchoscopic resection of a tracheobronchial leiomyoma in a pregnant patient

Int J Obstet Anesth. 2018 Aug:35:93-96. doi: 10.1016/j.ijoa.2018.04.002. Epub 2018 Apr 10.

Authors

K Falce¹, E Guy², D Hyman³, T Hotze², D Lazarus², V Bandi², J Parchem³, C Davidson³, U Munnur⁴

Affiliations

¹ Department of Anesthesiology, Baylor College of Medicine, Houston, TX, USA.
² Department of Pulmonology, Baylor College of Medicine, Houston, TX, USA.
³ Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
⁴ Department of Anesthesiology, Baylor College of Medicine, Houston, TX, USA. Electronic address: umunnur@bcm.edu.

PMID: 29764714
DOI: 10.1016/j.ijoa.2018.04.002

Abstract

Flexible bronchoscopy, therapeutic bronchoscopy and other procedures requiring anesthesia are generally avoided in pregnancy and postponed until after delivery if possible. We report a case of a parturient with an abnormal chest radiograph and mild obstructive symptoms of unknown etiology. At bronchoscopy, a tumor associated with post-obstructive suppuration was found and excised using electrocautery snare and cryotherapy, for restoration of airway patency. Coordination between pulmonary, obstetric, anesthesia, neonatology and thoracic surgery services was essential in ensuring success and the safety of the mother and fetus.

Keywords: Benign respiratory tumor; Bronchoscopy; Endobronchial leiomyoma; Pregnancy.

Publication types

Case Reports

MeSH terms

Adult
Bronchial Neoplasms / surgery*
Bronchoscopy / methods*
Female
Heart Rate, Fetal
Humans
Leiomyoma / surgery*
Pregnancy
Pregnancy Complications, Neoplastic / surgery*
Tracheal Neoplasms / surgery*