Panigrahi Manoj Kumar, Pradhan Gourahari, Mohapatra Prasanta Raghab
Assistant Professor Pulmonary Medicine All India Institute of Medical Sciences, Bhubaneswar.
Adv Respir Med. 2017;85(3):155-157. doi: 10.5603/ARM.2017.0026.
Abnormal bronchus arising directly from the trachea or the main bronchus is a rare developmental anomaly of the tracheobronchial tree. In general, tracheal bronchus has been reported in less than 1% of adult patients undergoing bronchoscopy with a male predominance. Tracheal bronchus is classified as - 'displaced' and 'supernumerary', the former being the most common type reported. Most patients are asymptomatic; however, cases presenting with cough, haemoptysis or recurrent lung infections are not uncommon. The diagnosis is usually made through computed tomography or bronchoscopy. Awareness of this anomaly may help in timely identification or prevention of perioperative complications during general anaesthesia or resectional thoracic surgery. Herein we report a case of right-sided displaced tracheal bronchus in an adult female presenting with recurrent haemoptysis.
直接起源于气管或主支气管的异常支气管是气管支气管树罕见的发育异常。一般而言,气管支气管在接受支气管镜检查的成年患者中报告率低于1%,男性居多。气管支气管分为“移位型”和“多余型”,前者是最常见的报告类型。大多数患者无症状;然而,出现咳嗽、咯血或反复肺部感染的病例并不少见。诊断通常通过计算机断层扫描或支气管镜检查做出。认识到这种异常可能有助于在全身麻醉或胸段切除手术期间及时识别或预防围手术期并发症。在此,我们报告一例成年女性右侧移位型气管支气管伴反复咯血的病例。