Recurrent Haemoptysis From Retained Endobronchial Sutures Successfully Managed Using Flexible Endobronchial Scissors

Haemoptysis can be a challenging diagnostic dilemma. The most common causes include acute respiratory infection, cancer, bronchiectasis and chronic obstructive pulmonary disease. However, in 20% of cases no clear cause can be found. We present here a rare case of a 54-year-old male who previously had a lobectomy for lung cancer and presented with chronic low-grade haemoptysis caused by endobronchial polypropylene sutures. We detail their successful removal using a novel technique with flexible endobronchial scissors and flexible fibreoptic bronchoscopy under light sedation. This case highlights a rare cause of haemoptysis that can be easily missed without bronchoscopy. It also shows that flexible endoscopic scissors can be safely used in the airway with a flexible bronchoscope to remove a foreign body that is implanted in the airway, and reviews surgical techniques to prevent sutures in the airway.