Unusually large sized bronchial cast/mucus plug after extubation leading to whole lung collapse-consolidation: a rare case report

Virendra Kr. Goyal, Anamika Chaudhary, Narendra Rungta


A critically ill patient of enteric encephalopathy with tetanus was hospitalized in a tertiary care ICU and intubated, put on ventilator. Patient had a whole lung collapse-consolidation developed just after extubation and noticed on physical examination and roentgenogram. After extensive chest physiotherapy a long and thick bronchial cast was removed and chest improved markedly thereafter.


Bronchial cast/mucus plug, Bronchoscopy, Chest physiotherapy, Post-extubation collapse, Spasmodic episodes

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