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A rare case of hemoptysis
Ananda Datta1, Sudip Ghosh1, Prasanta Raghab Mohapatra1
1Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Lung India : Official Organ of Indian Chest Society
|January 3, 2022
Summary
A rare airway disorder, tracheobronchopathia osteochondroplastica, was diagnosed in a 39-year-old male presenting with cough and hemoptysis. Imaging and bronchoscopy revealed characteristic tracheal nodules.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Airway Diseases
Background:
- Tracheobronchopathia osteochondroplastica (TO) is an uncommon, benign airway disorder.
- It is characterized by the submucosal deposition of cartilage and bone in the trachea and bronchi.
- Symptoms can range from asymptomatic to severe respiratory compromise.
Purpose of the Study:
- To report a case of tracheobronchopathia osteochondroplastica.
- To highlight the diagnostic findings in imaging and bronchoscopy.
- To emphasize the importance of considering TO in patients with unexplained airway symptoms.
Main Methods:
- Case presentation of a 39-year-old male with cough and hemoptysis.
- Computed tomography (CT) of the thorax to visualize tracheal lesions.
- Fiber-optic bronchoscopy for direct visualization and biopsy of nodular lesions.
- Histopathological examination of biopsy specimens for definitive diagnosis.
Main Results:
- CT revealed nodular lesions on the right lateral wall of the trachea.
- Bronchoscopy confirmed multiple nodular lesions in the lower trachea.
- Histopathology was suggestive of tracheobronchopathia osteochondroplastica.
Conclusions:
- Tracheobronchopathia osteochondroplastica is an uncommon airway disorder that can present with symptoms like cough and hemoptysis.
- Multimodality imaging and bronchoscopy are crucial for diagnosis.
- Early recognition and diagnosis are important for patient management.
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