Department of Internal Medicine, Loghman Hakim Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Faculty of Medicine, Bogomolets National Medical University, Kyiv, Ukraine.
J Med Case Rep. 2024 Oct 31;18(1):511. doi: 10.1186/s13256-024-04851-2.
Tracheal diverticulum is a rare condition often linked to other malformations. This case study highlights the posterior tracheal diverticulum, covering its causes, symptoms, diagnosis, treatment, and prognosis. The report is significant due to the rarity of tracheal diverticulum and potential for misdiagnosis, which can result in complications such as respiratory infections. The case offers novel insights into the presentation and management of tracheal diverticulum, helping to guide future diagnosis and treatment.
A 73-year-old Iranian man with a history of cardiac surgery 15 years ago was admitted to the Loghman Hakim Hospital in Tehran, Iran, for retrosternal chest pain, shoulder radiation, and a persistent cough lasting 4 months. The patient underwent cardiac tests and a lung computed tomography scan, which showed a 16 × 18 mm air-filled outpouching connected to the trachea's right posterolateral side, leading to a diagnosis of tracheal diverticulum. The patient was treated with bronchodilators and antibiotics.
Tracheal diverticulum is typically asymptomatic but can present with respiratory difficulties, dysphagia, and hoarseness. Diagnosis relies on imaging, and treatment ranges from conservative management to surgical intervention, particularly in symptomatic cases or those with complications. Recognizing tracheal diverticulum in surgical and anesthesia planning is crucial to prevent severe risks such as airway obstruction or trauma. This case report highlights the importance of early detection and personalized management, potentially improving patient outcomes and guiding clinical decision-making in similar cases.
气管憩室是一种罕见的疾病，常与其他畸形有关。本病例研究重点介绍了后气管憩室，涵盖其病因、症状、诊断、治疗和预后。由于气管憩室的罕见性和误诊的可能性，可能导致呼吸道感染等并发症，因此该报告具有重要意义。该病例为气管憩室的表现和管理提供了新的见解，有助于指导未来的诊断和治疗。
一名 73 岁的伊朗男子，15 年前曾接受过心脏手术，因胸骨后胸痛、肩部放射痛和持续咳嗽 4 个月而入住伊朗德黑兰的 Loghman Hakim 医院。患者接受了心脏检查和肺部计算机断层扫描，结果显示一个 16×18 毫米的充气膨出物连接到气管的右后外侧，诊断为气管憩室。患者接受了支气管扩张剂和抗生素治疗。
气管憩室通常无症状，但可出现呼吸困难、吞咽困难和声音嘶哑。诊断依赖于影像学检查，治疗范围从保守治疗到手术干预，特别是在有症状的病例或有并发症的病例中。在手术和麻醉计划中识别气管憩室对于防止严重风险（如气道阻塞或创伤）至关重要。本病例报告强调了早期发现和个性化管理的重要性，可能改善患者的结局并指导类似病例的临床决策。
