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Endoscopic treatment of tracheocele in pediatric patients

Marco Berlucchi1, Barbara Pedruzzi, Rita Padoan

  • 1Department of Pediatric Otorhinolaryngology, Spedali Civili, Brescia, Italy. marco.berlucchi@tin.it

American Journal of Otolaryngology
|December 18, 2009
PubMed

Insights

Acquired tracheal pouch, a rare condition, can cause recurrent pneumonia. Endoscopic treatment using brushing and fibrin glue offers a successful minimally invasive option for this tracheal diverticulum.

Area of Science:

  • Pulmonology
  • Surgical Innovation

Background:

  • Acquired tracheal pouch (tracheocele) is a rare, air-filled diverticulum of the tracheal pars membranacea.
  • Causes include esophageal/tracheal surgery, intubation, or increased intraluminal pressure.
  • Symptomatic cases unresponsive to medical therapy require surgical intervention.

Observation:

  • A 7-year-old boy presented with recurrent pneumonia secondary to a tracheal pouch.
  • The patient's condition necessitated surgical management due to persistent symptoms.

Findings:

  • Successful endoscopic treatment of the tracheocele was achieved.
  • The procedure involved brushing the pouch and applying fibrin glue via rigid tracheobronchoscopy.
  • This highlights the efficacy of minimally invasive endoscopic techniques.

Implications:

  • Endoscopic management provides a viable alternative to open surgery for tracheal diverticula.
  • This approach may reduce patient morbidity and recovery time.
  • Further emphasis on endoscopic treatments for tracheal diverticulum is warranted.

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