When extubation turns fatal: Delayed hemoptysis from negative pressure pulmonary hemorrhage.

Mohammed AbuBaha, Hossam Salameh, Wael Hashem, Hasan Khalili, Bara Abubaha, Mohammad Bdair, Hatem M Taha

Abstract readCase Reports

In one paragraph

Article in Respiratory medicine case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Mohammed AbuBahaDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Hossam SalamehDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Wael HashemDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Hasan KhaliliDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Bara AbubahaDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Mohammad BdairDepartment of Medicine, An-Najah National University, Nablus, Palestine.

Hatem M TahaHead of Medical Department, Palestine Medical Complex, Ramallah, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Negative pressure pulmonary hemorrhage (NPPH) is a rare but serious complication following upper airway obstruction, often due to forceful inspiratory efforts. We report a case of a 25-year-old diabetic male who developed sudden hemoptysis and dyspnea after routine varicocelectomy. The patient had likely bitten the endotracheal tube during extubation, causing transient airway obstruction. Imaging showed bilateral pulmonary infiltrates consistent with alveolar hemorrhage. Other causes were excluded, and supportive treatment led to full recovery. This case underscores the importance of recognizing NPPH early in the postoperative period to prevent misdiagnosis and ensure prompt, effective management.

Identifiers

PMID41210150

DOI10.1016/j.rmcr.2025.102312

PMCPMC12595073

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