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Recurrent membranous tracheal stenosis with a diverticulum in a 9-year-old boy. Not all that wheezes is asthma

Frantisek Kopriva¹, Vitezslav Kolek²

¹Department of Pediatrics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic.

Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia

|March 2, 2016

Abstract

Background:

Benign tracheobronchial stenosis of the proximal airways may result from a variety of conditions and can cause dyspnea, cough, wheeze or stridor.

Methods And Results:

In this report, we describe the case of a 9-year-old boy who was admitted to hospital with wheezing and progressive dyspnea lasting for six months. These abnormalities were diagnosed by multislice CT with 3-dimensional reconstruction of the trachea and by videobronchoscopy which demonstrated severe tracheal stenosis and an orifice of a tracheal diverticulum on the right side of the upper trachea. The stenosis was dilated with a balloon and vaporized with an Nd:YAG laser. Due to recurrent stenosis, the laser procedure had to be repeated several times in an approximately 4-6-month interval.

Conclusion:

Association between recurrent membranous tracheal stenosis and a tracheal diverticulum is a rare medical condition.

Keywords:

diverticulum laser membranous tracheal stenosis

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