The Uncommon Cause of Recurrent Pneumonias
Enormous Tracheal Diverticulum with Fistula
DOI:
https://doi.org/10.59667/sjoranm.v3i1.12Keywords:
recurrent pneumonia, dysphagia, tracheal diverticulum, tracheal pseudo-diverticulumAbstract
A patient who presented with sudden shortness of breath, stridor, and recurrent laryngeal nerve paralysis was diagnosed with a tracheal diverticulum. The diagnosis was established through CT scans and confirmed via endoscopy. Distinctive CT findings revealed an air-filled, tubular structure located behind and slightly to the right lateral of the trachea, which communicated with it. Endoscopy demonstrated a narrow-mouthed diverticulum originating from the posterior right wall of the trachea, approximately 8 cm below the level of the true vocal cords. Successful medical treatment was administered, and the patient experienced an uncomplicated recovery.
References
Fachwörterbuch der Medizin, Verlag Manfred Pawlak, Herrsching 1984, ISBN 3-88199-163-8, p. 481.
Teh B, Hall C, Kleid S. Infected tracheocoele (acquired tracheal diverticulum): case report and literature review. The Journal of Laryngology & Otology 2011;125(5):540-545. https//doi:10.1017/S0022215110003026.
Tanrivermis Sayit A, Elmali M, Saglam D, Celenk C. The diseases of airway-tracheal diverticulum: a review of the literature. J Thorac Dis 2016;8 (10):E1163-E1167. DOI: 10.21037/jtd.2016.10.92.
Peter Reuter: Springer Klinisches Wörterbuch 2007/2008, 9.Auflage, Springer – Verlag, Hei-delberg 2007, ISBN 978-3 -540-34601-2, p.1845.
Linus Geisler: Lexikon Medizin. Das Nach-schlagewerk für Ärzte, Apotheker, Patienten. 4., neu bearbeitete und erweiterte Auflage, Lexikon-Redaktion Elsevier GmbH München Sonder-ausgabe. Naumann und Göbel Verlagsge-sellschaft., Köln ohne Jahr (2005) ISBN 978-3- 625-10768-2, p.1673.
Laurens J. Ceulemans, Philip Lerut, Stefan De Moor, Rob Schildermans, Paul De Leyn: Recurrent Laryngeal Nerve Paralysis by Com-pression From a Tracheal Diverticulum. In: The Annals of Thoracic Surgery. 97, 2014, p.1068.
Marco-Domenico Caversaccio, Minerva Becker, Peter Zbären, Tracheal Diverticulum Presenting with Recurrent Laryngeal Nerve Paralysis. In: Annals of Otology, Rhinology and Laryngology. 107,2016, p.362, doi:10.1177/0003489449810700418.
K. Bae, K.N.Jeon, M.J.Park, S.J.Lee, H.C. Kim, S.I.Cha, J.H. Byn, J.W. Kim Overlooked diagnosis of infected paratracheal air cysts in patients with respiratory symptoms: Case report. In: Medicine Band 96, Nummer 29, Juli 2017, p. e 7536, doi:10.1097/MD.0000000000007536, PMID 28723769.
Shota Akabane, Jun Kawachi, Ryuta Fukai, Rai Shimoyama, Hiroyuki Kashiwagi, Hidemitsu Ogino, Kuzunao Watansábe : a rare case of an infected tracheal diverticulum requiring emergency intervention: A case report. In: International Journal of Surgery Case Reports, 24, 2016, p.7 doi:10.1016/j.ijscr.2016.04.051.
Joshua J. Reichert, Paul Mohabir, Elika Rad, Gabriela Gayer Increased prevalence of tracheal diverticula in cystic fibrosis patients. In: the British Journal of Radiology. 89, 2016, p.201 50694, doi:10.1259/bjr.20150694.
B. Celik, S.Bilgin, C.Yuksel Mounier-Kuhn Syndrome: a rare cause of bronchial dilatation. In: Texas Heart Institute Journal. Band 38,Nummer 2, 2011, p.194-196, PMID 21494536.
Zhang Y, Tan Y, Chen J, Fang C. The role of MRI in the diagnosis and management of tracheal diverticulum. BMC Med Imaging 2022; 22(1):74. DOI: 10.1186/s12880-022-00802-9.
Megerle AF, Elze M, Moneke I, Kaifi J, Schmid S, Passlick B. Seltene Differentialdiagnose rezidivierender pulmonaler Infekte: Mounier-Kuhn-Syndrom. Pneumologie 2016; 70 (S 01):P224. DOI: 10.1055/s-0036-1572161.
Krustins E, Kravale Z, Buls A. Mounier-Kuhn syndrome or congenital tracheo-bronchomegaly: a literature review. Respir Med 2013; 107(12):1822-8. DOI: 10.1016/j.rmed.2013 .08.042.
Krustins E. Mounier-Kuhn syndrome: a systematic analysis of 128 cases published within last 25 years. Clin Respir J 2016; 10(1):3-10. DOI: 10.1111/crj.12192.
Akgedik R, Karamanli H, Kizilirmak D, Kurt AB, Ozturk H, Yildirim BB, Cakir L. Mounier-Kuhn syndrome (tracheobronchomegaly): An analysis of eleven cases. Clin Respir J 2018;12(3):885-889. DOI: 10.1111/crj.12600.
Berlucchi M, Pedruzzi B, Padoan R, Nassif N, Stefini S. Endoscopic treatment of tracheocele in pediatric patients. Am J Otolaryngol 2010;31(4):272-5. DOI: 10.1016/j.amjoto.2009 .02.011.
Huang D, Ma Q, Wang S, Ouyang Q, Chen X. Transcervical resection of tracheal diverticulum. Head Neck 2017; 39 (1): 187-190. DOI: 10.1002/hed.24538.
Stanke M, Grossheim G. [Trachea diverticulum with secretions]. Deutsche Medizinische Wochenschrift (1946). 2007 May;132 (21):1163-1164. DOI: 10.1055/s-2007-979392. PMID: 17506011.
Leedman S, Quick M, Coombs A, Hee G. An unusual cause for globus sensation: infected tracheal diverticulum with abscess formation. J Laryngol Otol 2022;136(2):185-187. DOI: 10.1017/S0022215121003807.
Mordant P, De Dominicis F, Berna P, Riquet M. [Tracheobronchial and pulmonary parenchyma-tous congenital abnormalities requiring surgical treatment in adults]. Rev Pneumol Clin 2012;68 (2):110-6. DOI: 10.1016/j.pneumo.2012.01.008.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Frank Mosler; Nando Mertineit
This work is licensed under a Creative Commons Attribution 4.0 International License.
This license requires that reusers give credit to the creator. It allows reusers to distribute, remix, adapt, and build upon the material in any medium or format, even for commercial purposes.