Bravo® Capsule Aspiration: A Rare Case Report

Area of Science:

• Gastroenterology
• Pulmonology
• Medical Devices

Background:

• Bravo capsule endoscopy is a valuable tool for diagnosing resistant gastroesophageal reflux disease (GERD).
• While generally well-tolerated, potential complications exist, with capsule aspiration being exceedingly rare.
• Understanding these rare events is crucial for patient safety and procedural refinement.

Observation:

• A case report details a 52-year-old female experiencing oxygen desaturation requiring ventilation.
• Initial radiography identified the Bravo capsule in the right main bronchus.
• Flexible and rigid bronchoscopy confirmed the capsule's location in the right lower lobe bronchus and facilitated its removal.

Findings:

• The Bravo capsule, used for GERD diagnosis, was aspirated and lodged in the right lower lobe bronchus.
• Immediate endotracheal intubation and mechanical ventilation were required due to respiratory compromise.
• Successful retrieval of the capsule was achieved via rigid bronchoscopy with grasper forceps.

Implications:

• Capsule aspiration, though rare, is a serious complication of Bravo capsule endoscopy.
• Prompt airway management, including intubation and ventilation, is critical in suspected aspiration cases.
• Rigid bronchoscopy is an effective method for removing aspirated capsules from the lower airways.