A Case of Tracheal Carcinoma Diagnosed by Rigid Bronchoscopy in Lidocaine Anaphylaxis Patient.

Yoon, Byeong Kab; Ban, Hee Jung; Kwon, Yong Soo; Oh, In Jae; Kim, Kyu Sik; Kim, Yu Il; Lim, Sung Chul; Kim, Young Chul; Song, Sang Yoon

doi:2009.67.2.140

Tuberc Respir Dis > Volume 67(2); 2009 > Article

Case Report

Tuberculosis and Respiratory Diseases 2009;67(2):140-144.
DOI: https://doi.org/10.4046/trd.2009.67.2.140 Published online August 1, 2009.

A Case of Tracheal Carcinoma Diagnosed by Rigid Bronchoscopy in Lidocaine Anaphylaxis Patient.

Byeong Kab Yoon, Hee Jung Ban, Yong Soo Kwon, In Jae Oh, Kyu Sik Kim, Yu Il Kim, Sung Chul Lim, Young Chul Kim, Sang Yoon Song

¹Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. cyberkks@chonnam.ac.kr
²Department of Thoracic & Cardiovascular Surgery, Chonnam National University Medical School, Gwangju, Korea.

Abstract

The majority of flexible bronchoscopies are performed under topical anesthesia with lidocaine being the most commonly used agent. Anaphylaxis rarely occurs after local administration of lidocaine, but can be a fatal complication. We experienced a case of unexpected anaphylaxis. A 66-year-old woman was scheduled for flexible bronchoscopy to evaluate a tracheal mass and stenosis. The oral and nasal mucosa were pretreated with lidocaine. About 2~3 minutes later, the patient developed hypotension and we treated for anaphylaxis in the emergency room. Then, we decided to perform rigid bronchoscopy in this patient, under conditions of general anesthesia. A rigid bronchoscopy was performed in this patient, safely and successfully. The tracheal mass was determined to be squamous cell carcinoma.

Key Words: Lidocaine anaphylaxis, Rigid bronchoscopy, Flexible bronchoscopy