This fairly compact clot of incredible size was lodged in the right source bronchus, with the consequent pulmonary atelectasis.
In spite of its volume, it was expelled by the pressures generated by the cough.
This small “bronchial plug” of rolled gauze allows to stop a serious hemorrhage when the bronchus is occluded with it.
It is applied directly with the rigid bronchoscopy clamp.
The long linen thread that holds it will come out through the patient’s mouth and at the moment of removing it, it is only necessary to pull it to extract the plug.
Line of blood that discovers the bronchus that causes hemoptysis.
Sometimes the bronchoscopy can establish the anatomical origin of the hemoptysis, although a trace as clear as the one of the photograph should not be expected. Usually the fresh blood is distributed by the cough and the oldest one coagulates and fragments, so it is seen in different areas of the airway. Then the bronchoscopist makes silence. To ensure the origin of hemoptysis, it is imperative to observe the production and reproduction of blood from the same bronchus.
After a few days, the clot begins to fade, gradually abandoning its original burgundy color.
A few more days: before being spontaneously eliminated, the clot, now pale yellowish, retracts, losing volume and increasing its consistency, so that it can be confused with a neoformation.