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Case report
peer-reviewed

Bravo® Capsule Aspiration: A Rare Case Report



Abstract

Bravo® capsule (BC) (Medtronic, Minneapolis, MN) endoscopy is a reliable, viable, and well-tolerated diagnostic modality for resistant gastroesophageal reflux disease (GERD). Common complications of the procedure include early dislodgment, poor transmission, and premature removal due to intractable pain, while aspiration of the capsule is exceedingly rare. This paper reports a case of BC aspiration in a 52-year-old female who presented after being ventilated when her oxygen saturation dropped. The initial chest radiograph revealed that the BC was in the right main bronchus; the site was further elaborated by flexible endoscopy and the capsule was found to be in the right lower lobe bronchus distal to the bronchus intermedius. This was followed by a rigid bronchoscopy and extraction of the capsule with rigid grasper forceps. Although this occurs rarely, immediate endotracheal intubation and ventilator support is the preferred emergency step in such cases until bronchoscopic removal can be performed. 



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Case report
peer-reviewed

Bravo® Capsule Aspiration: A Rare Case Report


Author Information

Abdul Haseeb Corresponding Author

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Noman Lateef

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Muhammad Bilal

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Kumar Gaurav

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Jason Prudom

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Ali Musani

Pulmonary and Critical Care Medicine, University of Colorado School of Medicine and University Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Bravo® Capsule Aspiration: A Rare Case Report


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Case report
peer-reviewed

Bravo® Capsule Aspiration: A Rare Case Report

Abdul Haseeb">Abdul Haseeb , Noman Lateef">Noman Lateef, Muhammad Bilal">Muhammad Bilal, Kumar Gaurav">Kumar Gaurav, Jason Prudom">Jason Prudom, Ali Musani">Ali Musani

  • Author Information
    Abdul Haseeb Corresponding Author

    Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

    Noman Lateef

    Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

    Muhammad Bilal

    Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

    Kumar Gaurav

    Pulmonary and Critical Care Medicine, Medical College of Wisconsin

    Jason Prudom

    Pulmonary and Critical Care Medicine, Medical College of Wisconsin

    Ali Musani

    Pulmonary and Critical Care Medicine, University of Colorado School of Medicine and University Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: August 09, 2017

    DOI

    10.7759/cureus.1556

    Cite this article as:

    Haseeb A, Lateef N, Bilal M, et al. (August 09, 2017) Bravo® Capsule Aspiration: A Rare Case Report. Cureus 9(8): e1556. doi:10.7759/cureus.1556

    Publication history

    Received by Cureus: July 06, 2017
    Peer review began: August 01, 2017
    Peer review concluded: August 01, 2017
    Published: August 09, 2017

    Copyright

    © Copyright 2017
    Haseeb et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Bravo® capsule (BC) (Medtronic, Minneapolis, MN) endoscopy is a reliable, viable, and well-tolerated diagnostic modality for resistant gastroesophageal reflux disease (GERD). Common complications of the procedure include early dislodgment, poor transmission, and premature removal due to intractable pain, while aspiration of the capsule is exceedingly rare. This paper reports a case of BC aspiration in a 52-year-old female who presented after being ventilated when her oxygen saturation dropped. The initial chest radiograph revealed that the BC was in the right main bronchus; the site was further elaborated by flexible endoscopy and the capsule was found to be in the right lower lobe bronchus distal to the bronchus intermedius. This was followed by a rigid bronchoscopy and extraction of the capsule with rigid grasper forceps. Although this occurs rarely, immediate endotracheal intubation and ventilator support is the preferred emergency step in such cases until bronchoscopic removal can be performed. 



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Create a free account to continue reading this article.

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Abdul Haseeb

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

For correspondence:
haseeb_744@yahoo.com

Noman Lateef

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Muhammad Bilal, Medical Student

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Kumar Gaurav

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Jason Prudom

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Ali Musani

Pulmonary and Critical Care Medicine, University of Colorado School of Medicine and University Hospital

Abdul Haseeb

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

For correspondence:
haseeb_744@yahoo.com

Noman Lateef

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Muhammad Bilal, Medical Student

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan

Kumar Gaurav

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Jason Prudom

Pulmonary and Critical Care Medicine, Medical College of Wisconsin

Ali Musani

Pulmonary and Critical Care Medicine, University of Colorado School of Medicine and University Hospital