Student Research Group. Department of Otolaryngology, Head and Neck Surgery. University of Medical Sciences. Poznań. Poland. Division of Ear, Nose and Throat Diseases. Department of Clinical Sciences. Intervention and Technology. Karolinska Institutet. Stockholm. Sweden.
Student Research Group. Department of Otolaryngology, Head and Neck Surgery. University of Medical Sciences. Poznań. Poland.
Acta Med Port. 2021 Mar 1;34(3):229-231. doi: 10.20344/amp.12000.
The aim of this case report is to present an incidental finding of a firm tracheal septum in a 61-year-old woman. The patient was admitted to the hospital with mild dyspnea and a preliminary diagnosis of a tracheal subglottic stenosis. During microlaryngoscopy, just below the subglottic stenosis, a firm, vertical symphysis (septum), forming a double-lumen trachea was found. There was no record of any previous difficulties with intubation. A computed tomography scan performed after the microlaryngoscopy revealed an airway branch arising from the trachea at the level of thyroid gland and joining its lumen below. The radiological and endoscopic findings in the presented case hardly resemble the conditions described in the literature, as the discovered septum does not have a pseudomembranous nature, nor does it form a tracheal bronchus. Therefore, the finding is thought to be an unusual complication of multiple intubations in the past. This is an extremely rare finding and it is important to share our experience in managing a patient with the aforementioned post-intubation complications.
本病例报告的目的是报告一例 61 岁女性偶然发现的坚实气管隔膜。该患者因轻度呼吸困难和初步诊断为气管声门下狭窄而入院。在喉镜检查中，就在声门下狭窄下方，发现了一个坚实的垂直会厌（隔膜），形成了一个双腔气管。没有任何先前插管困难的记录。喉镜检查后进行的计算机断层扫描显示，气道分支从甲状腺水平的气管发出，并在其下方与管腔相连。所呈现病例的放射学和内窥镜检查结果几乎与文献中描述的情况不同，因为发现的隔膜没有假膜性质，也没有形成气管支气管。因此，该发现被认为是过去多次插管的罕见并发症。这是一种极其罕见的发现，重要的是要分享我们在处理上述插管后并发症患者方面的经验。
