Hatgaonkar Anand, Hatgaonkar Kajal, Nunna Bhagyasri
Radiodiagnosis, Datta Meghe Medical College, Nagpur, MH, India
Pathology, Datta Meghe Medical College, Nagpur, MH, India.
BMJ Case Rep. 2025 Jun 22;18(6):e265337. doi: 10.1136/bcr-2025-265337.
Congenital tracheobronchomegaly, also known as Mounier-Kuhn syndrome (MKS), is an uncommon illness characterised by dilatation of the major bronchi and recurrent chest infections. Tracheobronchomegaly may also be accompanied by tracheal and bronchial diverticula. We report the case of a middle-aged woman with a complaint of uterine prolapse for which a hysterectomy is planned. The patient complained of recurrent cough with expectoration for the last 6 years; hence, a radiograph of the chest and CT of the thorax were advised. A radiograph of the chest and thoracic CT showed dilation and numerous diverticula of the trachea and bronchi that suggested MKS. Management of MKS in symptomatic patients is supportive but is only used to treat contagious exacerbations with antibiotics and respiratory exercise to clear secretions. Here is an attempt to reach out to the cause of uterine prolapse in this patient with MKS and correlating these two conditions.
先天性气管支气管巨大症，也称为穆尼耶 - 库恩综合征（MKS），是一种罕见疾病，其特征为主要支气管扩张和反复的胸部感染。气管支气管巨大症也可能伴有气管和支气管憩室。我们报告一例中年女性病例，该患者因子宫脱垂前来就诊，计划进行子宫切除术。患者自述在过去6年中反复咳嗽、咳痰；因此，建议进行胸部X光检查和胸部CT检查。胸部X光片和胸部CT显示气管和支气管扩张及多发憩室，提示为MKS。有症状的MKS患者的治疗以支持治疗为主，仅在出现感染性加重时使用抗生素治疗，并通过呼吸锻炼清除分泌物。本文旨在探究该患有MKS的患者子宫脱垂的病因，并将这两种情况联系起来。
