Subglottic tracheal stenosis complicating pregnancy: A case report

Area of Science:

• Obstetrics and Gynecology
• Pulmonology
• Critical Care Medicine

Background:

• Subglottic tracheal stenosis is a rare condition causing airway narrowing below the vocal cords.
• Pregnancy presents unique physiological changes that can exacerbate pre-existing respiratory conditions.
• Shortness of breath in pregnancy requires a broad differential diagnosis, including uncommon causes.

Observation:

• A pregnant patient presented with worsening shortness of breath and stridor.
• The patient was diagnosed with subglottic tracheal stenosis, significantly impacted by her pregnancy.
• A multidisciplinary team managed the patient's airway and obstetric care.

Findings:

• Successful multidisciplinary management led to a favorable outcome for both the mother and the fetus.
• The case highlights the importance of recognizing uncommon respiratory emergencies in pregnancy.
• Prompt diagnosis and intervention are crucial for managing airway compromise during gestation.

Implications:

• Clinicians should consider subglottic tracheal stenosis in pregnant patients with respiratory distress, especially with stridor.
• Integrated care involving pulmonology, anesthesia, and obstetrics is vital for managing such complex cases.
• This case underscores the need for vigilance in diagnosing respiratory symptoms during pregnancy, as stridor is never a normal finding.