From the Head and Neck Services, Tata Memorial Hospital, Parel, Mumbai, India.
Head and Neck Services, Homi Bhabha National Institute; and Departments of.
A A Pract. 2020 Jul;14(9):e01262. doi: 10.1213/XAA.0000000000001262.
Paratracheal air cyst encompasses conditions including tracheoceles, bronchogenic cysts, lymphoepithelial cysts, and tracheal diverticula. The occurrence of tracheal diverticulum is rare and usually does not manifest clinically or may cause symptoms like chronic cough. However, it may have a rare presentation-like in our case-where rupture of tracheal diverticulum post-intubation and assisted ventilation for elective surgery led to pneumothorax, pneumopericardium, pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum. It may pose diagnostic dilemmas in such cases. An understanding of the underlying mechanism helps in the management, which in majority of cases is conservative.
气管旁气囊肿包括气管憩室、支气管源性囊肿、淋巴上皮囊肿和气管。气管憩室的发生较为罕见,通常不会表现出临床症状,也可能导致慢性咳嗽等症状。然而,它可能会表现出罕见的症状,例如我们的病例中,气管憩室在择期手术的插管和辅助通气后破裂,导致气胸、心包积气、纵隔气肿、气腹和腹膜后气肿。在这种情况下,它可能会导致诊断难题。了解其潜在机制有助于进行管理,大多数情况下采用保守治疗。