Journal Information
Vol. 42. Issue 1.
Pages 69 (January - February 2018)
Vol. 42. Issue 1.
Pages 69 (January - February 2018)
Images in Intensive Medicine
Full text access
Central bronchial reflex finding in pulmonary infarct
Hallazgo de reflejo central bronquial en el infarto pulmonar
Visits
8904
R. Blancas
Corresponding author
rafael.blancas@salud.madrid.org

Corresponding author.
, D. Ballesteros-Ortega, â. Martínez-González
Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Universidad Alfonso X El Sabio, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

Central bronchial reflex is a sign of pulmonary infarction explored by pulmonary ultrasound. This finding appears in late pulmonary infarction as an expression of bronchial constriction and compression due to surrounding edema and pulmonary bleeding.

We present a case of massive pulmonary embolism with pulmonary infarction. The patient was on mechanical ventilation due to right heart failure and severe hypoxemia. Pulmonary CT showed in the lung parenchyma an area of triangular morphology in peripheral location with increased density and frosted glass appearance compatible with pulmonary infarction on the left upper lobe (Fig. 1, Panel A, arrow). Over the same location, central bronchial reflex is seen as an hyperechoic structure surrounded by hypoechoic tissue on ultrasound exam. Bronchus can be identified by pulsed-Doppler, showing the flow of gas insufflated by ventilator (Fig. 1, Panel B).

Figure 1
(0.32MB).
Funding

This work has been done without any funding.

Conflicts of interest

The authors declare no conflict of interest.

Copyright © 2016. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.