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Tracheal Diverticulosis

Trachea Diverticula


Presentation

  • A 53-year-old smoker presented with a history of recurrent lower respiratory tract infections. A diagnosis of Tracheal Diverticulosis due to Tracheobronchomegaly (Mounier-Kuhn Syndrome) was made.[ncbi.nlm.nih.gov]
  • There is male predominance, and patients usually present in adult life.[lungindia.com]
  • They are usually asymptomatic but can occasionally present with persistent symptoms. We herein report the case of a 50-year-old male patient who underwent extensive evaluation for persistent cough .[journals.lww.com]
  • Finger clubbing was present. The results of blood analysis were within normal limits.[the-medical-dictionary.com]
Weight Loss
  • He denied fever, wheezes, chest pain, dyspnea, or weight loss. No other respiratory illness was present. His parents and siblings were normal. He works as a security officer. He has never smoked and denies regular alcohol intake.[the-medical-dictionary.com]
  • There was no history of fever, wheeze, chest pain, or weight loss. No other associated comorbid conditions were present (diabetes, hypertension, hyperlipidemia, or immunosuppresion).[lungindia.com]
  • loss Bad breath (halitosis) Some people may experience a gurgling sound as air passes through the diverticulum.[my.clevelandclinic.org]
Leg Swelling
  • There was no history of fever, wheezing, hemoptysis, chest pain, shortness of breath, leg swelling, loss of weight or appetite, and associated nasal symptoms.[journals.lww.com]
Persistent Cough
  • We herein report the case of a 50-year-old male patient who underwent extensive evaluation for persistent cough.[ncbi.nlm.nih.gov]
  • There was a history, extending over many years, of persistent cough and purulent sputum, with progressive shortness of breath. Six or seven bouts of pneumonia were said to have occurred prior to the current episode.[pubs.rsna.org]
  • We herein report the case of a 50-year-old male patient who underwent extensive evaluation for persistent cough .[journals.lww.com]
  • Case report An 81-year-old man, a dairy farmer, presented to his primary care physician with a 2-year history of a persistent cough.[thefreelibrary.com]
Decreased Breath Sounds
  • Clinical respiratory examination disclosed decreased breath sounds over both lungs and inspiratory crackles at the lower third of both lung fields. Finger clubbing was present. The results of blood analysis were within normal limits.[the-medical-dictionary.com]
Purulent Sputum
  • His symptoms at the time were fever, shortness of breath, cough, and purulent sputum. There was a history, extending over many years, of persistent cough and purulent sputum, with progressive shortness of breath.[pubs.rsna.org]
Chest Pain
  • He denied fever, wheezes, chest pain, dyspnea, or weight loss. No other respiratory illness was present. His parents and siblings were normal. He works as a security officer. He has never smoked and denies regular alcohol intake.[the-medical-dictionary.com]
  • There was no history of fever, wheeze, chest pain, or weight loss. No other associated comorbid conditions were present (diabetes, hypertension, hyperlipidemia, or immunosuppresion).[lungindia.com]
  • There was no history of fever, wheezing, hemoptysis, chest pain, shortness of breath, leg swelling, loss of weight or appetite, and associated nasal symptoms.[journals.lww.com]
  • We report a case of a 69-year-old woman who was hospitalized after presenting with fever, fatigue, pleuritic chest pain, and a right neck mass complicated by dysphagia.[ncbi.nlm.nih.gov]
Cutis Laxa
  • Although the association of this condition with Ehlers-Danlos syndrome More Details reported in adults and with acquired cutis laxa in children may suggest a congenital defect in connective tissue as the basis for tracheobronchomegaly; most cases, however[lungindia.com]
  • laxa, and light chain deposition disease.[9-11] Nevertheless, the majority of cases appear to be sporadic.[the-medical-dictionary.com]
  • laxa may also present with secondary tracheobronchial dilatation. [5] Mounier-Kuhn syndrome can be diagnosed from a plain CT by measuring the transverse diameter of trachea and bronchi.[jacpjournal.org]
Ataxia
  • Certain other conditions such as Marfan syndrome, Ehlers-Danlos syndrome, Kenny-Caffey syndrome More Details, ataxia-telangiectasia, connective tissue diseases, Brachmann-de Lange syndrome More Details, Bruton-type agammaglobulinemia, ankylosing spondylitis[lungindia.com]

Workup

  • The congenital form was found incidentally in 3 asymptomatic middle-aged women, and the acquired case (a tracheobronchial diverticulum) was discovered during a workup for chronic cough and fever in a young man.[ncbi.nlm.nih.gov]
  • The gold standard for diagnosis is flexible bronchoscopy; however, because patients present with nonspecific symptoms ranging from cough to complete airway obstruction, imaging is often obtained as part of the initial workup. 18 The CT appearance of papillomatosis[appliedradiology.com]
Pericardial Effusion
  • effusion 168 Case 64 Pericardial cysts 170 Case 65 Partial or complete absence of the pericardium 172 Case 66 Pleural lipoma 176 Case 67 Prominent subpleural fat with chronic pleural disease 178 Case 68 Benign fibrous tumor of the pleura pedicles 180[books.google.com]
  • There was no lung parenchymal abnormality, mediastinal lymph nodal enlargement, or pleural/pericardial effusion. Flexible bronchoscopy was performed.[journals.lww.com]
Pseudomonas
  • Document CF Research News Article Link Scientific Abstract Keywords Lung diseases Lung transplantation Pseudomonas infections Tomography x-ray computed Tracheal diverticulum Date Thursday, July 27, 2017 Featured resource article Yes Resource - Guideline[ecfs.eu]

Treatment

  • The clinical history, diagnosis and treatment options are discussed.[ncbi.nlm.nih.gov]
  • Multidisciplinary contributions on medical treatment, radiation oncology, and surgery and anesthesia are included. Highlights include new material on minimally invasive procedures and thoroughly updated diagnostic and treatment information.[books.google.com]
  • Treatment options of tracheal diverticulum include surgical resection and conservative management. Treatment options change depending on the patient's symptoms, age and physical state.[erj.ersjournals.com]
  • So, they do not use any antibiotic treatment.[elynsgroup.com]

Prognosis

  • They are generally small, do not metastasize to regional lymph nodes, and are associated with an excellent prognosis, with surgical resection resulting in a cure in most cases.[appliedradiology.com]

Etiology

  • […] of the trachea and main bronchi, sometimes with tracheal diverticulosis, bronchiectasis, and recurrent lower respiratory tract infection.[1,2] The clinical and endoscopic features of tracheobronchomegaly were described by Mounier-Kuhn in 1932.[3] The etiology[the-medical-dictionary.com]
  • The etiology of this disorder is uncertain and the clinical presentation is variable.[lungindia.com]
  • Laryngology . 1998, vol. 107, no. 4, p. 362-4 Keywords Aged — Diverticulum/complications/diagnosis — Endoscopy — Female — Humans — Recurrent Laryngeal Nerve — Tomography, X-Ray Computed — Tracheal Diseases/complications/diagnosis — Vocal Cord Paralysis/etiology[archive-ouverte.unige.ch]
  • The most common etiology is COPD.[appliedradiology.com]
  • While the precise etiology is unknown, they have been associated with obstructive lung disease, inflammation, tracheal mucus impaction and increased intrathoracic pressures as possible causes.[elynsgroup.com]

Pathophysiology

  • Newborn Surgery, Third Edition provides a comprehensive compendium of the pathophysiology, investigation and management of neonatal disorders.[books.google.com]
  • Although the cause and pathophysiology of the PTACs are still unknown, they are mostly considered as tracheal DV. In previous studies, the incidence of PTACs was 2% according to Goo et al [3] and 3.7% according to Buterbaugh and Erly [5].[article.sapub.org]

Prevention

  • Medical Sciences, Tehran, Iran 3 Nursing and Respiratory Health Management Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran 4 Department of Medicine, Tobacco Prevention[zjrms.com]
  • However, surgical treatment has been reported to be effective and safe for symptomatic tracheal diverticula to prevent the recurrence [15].[elynsgroup.com]
  • We consulted our thoracic surgery colleagues who performed a serratus muscle flap repair of the tracheal diverticulum to prevent progression to tracheovascular fistula, as we were concerned the defect was extending toward the superior vena cava.[cureus.com]
  • "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence.[turkiyeklinikleri.com]

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