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Bronchial Stent Dislodgement and Expulsion into the Trachea after Double Lung Transplant

Imaging findings

A radiograph shows a hydropneumothorax and a bronchial stent displaced toward the right side. CT later the same day shows the stent coughed up into the trachea, with stenosis at the anastomosis. The lateral view confirms the stent is higher than expected.

Key takeaways

Bronchial stents can migrate or be expelled by coughing, and an expelled stent can lodge in the trachea or cross the carina, which is very dangerous. Patients who report reduced airflow after stenting need prompt imaging to confirm stent position, and the displacement is a procedural complication.

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