Dr Sampat Dash

11/07/2025

Breathless but Not Beyond Hope: Life-Saving Bronchoscopic Removal of a Rare Tracheal Inflammatory Myofibroblastic Tumour

Inflammatory Myofibroblastic Tumour (IMT) is an uncommon, low-grade neoplasm that rarely affects the central airway. We report a dramatic case of a 24-year-old male who presented with progressive respiratory distress and inspiratory stridor. Urgent imaging and bronchoscopy revealed a large tracheal mass occluding approximately 80–90% of the lumen, posing an imminent threat to life.

The patient was immediately taken up for therapeutic intervention. Under general anesthesia, rigid bronchoscopy was performed. A vascular, polypoidal tumour was identified arising from the posterior tracheal wall. Initial debulking was achieved with a mechanical snare, followed by cryoextraction of tumour remnants. Argon plasma coagulation (APC) was then employed to ablate the tumour base and achieve haemostasis. This multimodal bronchoscopic approach restored airway patency successfully.

Histopathology confirmed the lesion as an inflammatory myofibroblastic tumour. The patient had a smooth postoperative recovery and was discharged with complete resolution of respiratory symptoms.

This case highlights the critical importance of early diagnosis and the potential of advanced interventional pulmonology techniques in managing central airway obstructions. Rigid bronchoscopy, combined with tools like snare, cryotherapy, and APC, offers a safe and effective alternative to open surgery, especially in urgent scenarios.

Such rare presentations remind us of the vital need for vigilance and prompt action in airway emergencies.

Regards,
Dr. Sampat Dash
Department of Respiratory Medicine
Ashwini Hospital, Cuttack

09/07/2025

Recent advances in international pulmonology highlight the growing role of precision diagnostics and minimally invasive interventions in managing complex respiratory diseases.

29/06/2025

"Successful Airway Management with Silicone Tracheal Stenting in a High-Risk Bedridden Patient with Cervical Myelitis and Tracheal Stenosis".

A 47-year-old male with cervical myelitis, bedridden status, and a grade 3 Post Intubation Tracheal Stenosis (PITS) complicated by granulation tissue and fibrosis due to prolong mechanical ventilation was referred to our centre due to respiratory distress and persistent cough. He also had associated grade 4 pressure sores. Given his poor general condition and high surgical risk, he was deemed unfit for definitive surgical repair the patient attendant opted for a less invasive approach, and the patient underwent successful placement of a silicone tracheal stent to relieve airway obstruction and stabilize his breathing. The procedure was completed without complications. Following the intervention, the patient showed marked improvement in respiratory function and remained clinically stable. This case underscores the importance of individualized, minimally invasive airway management in patients with severe tracheal pathology who are not suitable for surgery, demonstrating that silicone stenting can be an effective and well-tolerated alternative in such high-risk cases.

Department of Respiratory Medicine Ashwini Hospital, Cuttack Odisha

02/06/2025

Covid once again: Don’t panic but take precautions.

31/05/2025

It’s difficult but not impossible to quit smoking.Talk to your doctor

30/04/2025

30/04/2025

A 15-year-old male presented with a history of accidental inhalation of a metallic push pin. Chest X-ray and CT scan confirmed a radiopaque foreign body lodged in the right lower lobe bronchus. The patient was taken to the operating room for rigid bronchoscopy under general anesthesia. The push pin was visualized and carefully extracted using video bronchoscopy via two prong forceps without complications. The bronchial mucosa appeared mildly inflamed but intact. Post-procedure, the patient was monitored in recovery with stable vitals and no respiratory distress. A follow-up chest X-ray showed no retained foreign body or complications such as pneumothorax. The patient was discharged with instructions for observation and scheduled for outpatient follow-up. This case highlights the importance of early diagnosis and prompt bronchoscopic removal to prevent airway injury or infection.

29/04/2025

Scarf Pin Extraction via Bronchoscopy

A 13-year-old female presented with a history of accidental scarf pin aspiration. Imaging revealed a metallic foreign body in the Trachea, with serial radiographs showing migration between the left main bronchus and segmental bronchi. Under general anesthesia, bronchoscopy was performed with the patient in a supine position. Initial exploration showed the pin had migrated distally to left upper lobe bronchus requiring repeated repositioning of the bronchoscope. The pin was visualized lodged obliquely with the sharp end in proximal position. Grasping forceps were used to secure the pin, and careful traction was applied to dislodge and extract the pin without mucosal injury. Due to its mobility, continuous visualization was critical to track and retrieve the pin safely to the ET tube. The airway was re-inspected for bleeding or residual fragments. The patient was extubated and observed postoperatively without complications.

19/04/2025

Training young minds is always a great feeling. Happy to be a part of 3rd “OAIACS”

16/01/2025

Grateful for the opportunity for a talk in the Annual State Conference "21st Chestcon-2025"

Also, a great Experience to interact with the young minds in the "NIV Workshop"

16/01/2025

I'm thrilled to share my new webpage drsampatdash.com. Please take a look and conveniently book an online appointment with me through the link.

Advanced care for all lung diseases in Cuttack.

15/01/2025

Asthma can manifest through a range of symptoms, including difficulty breathing, a persistent cough, and tightness in the chest. Understanding these signs is crucial for effective management and can significantly improve quality of life for those affected.