Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient
Tuberculosis (TB) tracheobronchial stenosis is considered as the worst complication of tracheobronchial TB (TBTB). Endobronchial balloon dilation (EBD) is a promising treatment for adult tracheal stenosis; however, it may be complicated by transmural rupture and cartilage ring fracture. We present a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-12-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.495 |
| _version_ | 1818325056833454080 |
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| author | Guihui Wu Qing Chen Tao Huang Yong Liu Wei He |
| author_facet | Guihui Wu Qing Chen Tao Huang Yong Liu Wei He |
| author_sort | Guihui Wu |
| collection | DOAJ |
| description | Tuberculosis (TB) tracheobronchial stenosis is considered as the worst complication of tracheobronchial TB (TBTB). Endobronchial balloon dilation (EBD) is a promising treatment for adult tracheal stenosis; however, it may be complicated by transmural rupture and cartilage ring fracture. We present a 29‐year‐old female with a six‐month history of cough and chest pain, and three weeks of dyspnoea. She was diagnosed with TBTB with active caseous lesions and had an effective response to anti‐TB treatment. Nevertheless, she suffered recurrent tracheobronchial stenosis requiring several bronchoscopic treatments, including EBD. Her eight‐month follow‐up bronchoscopy showed transmural rupture and cartilage ring fracture of the anterior trachea. The patient finally recovered after 18 months of conservative management. Transmural rupture and cartilage ring fracture on the anterior trachea wall without pneumomediastinum or subcutaneous emphysema in TBTB patients may be best treated with a conservative approach. |
| first_indexed | 2024-12-13T11:38:25Z |
| format | Article |
| id | doaj.art-b41213b6967a4c68a7168726d5fcd053 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-13T11:38:25Z |
| publishDate | 2019-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-b41213b6967a4c68a7168726d5fcd0532022-12-21T23:47:43ZengWileyRespirology Case Reports2051-33802019-12-0179n/an/a10.1002/rcr2.495Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patientGuihui Wu0Qing Chen1Tao Huang2Yong Liu3Wei He4Department of Tuberculosis The Public Health Clinical Center of Chengdu Chengdu P.R. ChinaDepartment of Tuberculosis The Public Health Clinical Center of Chengdu Chengdu P.R. ChinaDepartment of Tuberculosis The Public Health Clinical Center of Chengdu Chengdu P.R. ChinaDepartment of Tuberculosis The Public Health Clinical Center of Chengdu Chengdu P.R. ChinaDepartment of Tuberculosis The Public Health Clinical Center of Chengdu Chengdu P.R. ChinaTuberculosis (TB) tracheobronchial stenosis is considered as the worst complication of tracheobronchial TB (TBTB). Endobronchial balloon dilation (EBD) is a promising treatment for adult tracheal stenosis; however, it may be complicated by transmural rupture and cartilage ring fracture. We present a 29‐year‐old female with a six‐month history of cough and chest pain, and three weeks of dyspnoea. She was diagnosed with TBTB with active caseous lesions and had an effective response to anti‐TB treatment. Nevertheless, she suffered recurrent tracheobronchial stenosis requiring several bronchoscopic treatments, including EBD. Her eight‐month follow‐up bronchoscopy showed transmural rupture and cartilage ring fracture of the anterior trachea. The patient finally recovered after 18 months of conservative management. Transmural rupture and cartilage ring fracture on the anterior trachea wall without pneumomediastinum or subcutaneous emphysema in TBTB patients may be best treated with a conservative approach.https://doi.org/10.1002/rcr2.495Balloon dilationcartilage fracturetracheal rupturetracheal stenosistracheobronchial tuberculosis |
| spellingShingle | Guihui Wu Qing Chen Tao Huang Yong Liu Wei He Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient Respirology Case Reports Balloon dilation cartilage fracture tracheal rupture tracheal stenosis tracheobronchial tuberculosis |
| title | Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| title_full | Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| title_fullStr | Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| title_full_unstemmed | Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| title_short | Transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| title_sort | transmural rupture and cartilage ring fracture in a tracheobronchial tuberculosis patient |
| topic | Balloon dilation cartilage fracture tracheal rupture tracheal stenosis tracheobronchial tuberculosis |
| url | https://doi.org/10.1002/rcr2.495 |
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