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Tracheal stenosis diagnosed on pulmonary ventilation/perfusion scan
R J Cusack1, A Seth, B P Madden
1Department of Thoracic Medicine, St Georges Hospital, Tooting, London SW17 0QT, UK. rj_cusack@yahoo.co.uk
European Journal of Internal Medicine
|December 28, 2005
Summary
A patient developed tracheal stenosis, a complication of endotracheal intubation, presenting with cough and breathlessness. Diagnosis was delayed due to insidious onset, requiring stent placement.
Area of Science:
- Pulmonary Medicine
- Respiratory Surgery
Background:
- Tracheal stenosis is a known complication following endotracheal intubation.
- Symptoms can be subtle, leading to delayed diagnosis and treatment.
Purpose of the Study:
- To highlight the diagnostic challenges and management of tracheal stenosis.
- To emphasize the importance of considering tracheal stenosis in post-intubation patients.
Main Methods:
- Case report of a 68-year-old woman post-coronary artery bypass surgery.
- Initial misdiagnosis as pulmonary embolism.
- Ventilation/perfusion scan revealing tracheal stenosis.
- Intervention included dilation and endobronchial stent deployment.
Main Results:
- Tracheal stenosis was confirmed as the cause of respiratory symptoms.
- Successful management achieved through dilation and stenting.
- The case underscores the insidious nature of the condition.
Conclusions:
- Tracheal stenosis can present insidiously, mimicking other conditions like pulmonary embolism.
- Early recognition and appropriate diagnostic imaging are crucial for timely intervention.
- Endobronchial stenting is an effective treatment option for managing tracheal stenosis.