Ocak Iclal, Bollino Gideon, Fuhrman Carl
University of Pittsburgh Medical Center, Radiology Suite 200 East Wing, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Radiol Case Rep. 2017 Sep 19;12(4):686-689. doi: 10.1016/j.radcr.2017.08.003. eCollection 2017 Dec.
Ulcerative colitis can cause inflammation of small and large airways, characterized by mucosal inflammation, tracheobronchial stenosis, bronchiestasis, and bronchiolitis. We present a case of tracheobronchitis and bronchiolitis associated with ulcerative colitis in a 58-year-old nonsmoking man, 17 years after the total colectomy and complete resolution of intestinal findings. Computed tomography demonstrated wall thickening of trachea and left main stem bronchus, and multiple bronchi around the both hilum with mild to moderate stenosis. Fiberoptic bronchial biopsy showed inflammation of the airways, similar to histologic findings of ulcerative colitis within colon.
溃疡性结肠炎可导致大小气道炎症，其特征为黏膜炎症、气管支气管狭窄、支气管扩张和细支气管炎。我们报告一例58岁非吸烟男性，在全结肠切除术后17年，肠道症状完全缓解，但出现了与溃疡性结肠炎相关的气管支气管炎和细支气管炎。计算机断层扫描显示气管和左主支气管壁增厚，双侧肺门周围多个支气管有轻至中度狭窄。纤维支气管镜活检显示气道炎症，类似于结肠内溃疡性结肠炎的组织学表现。
