Sažetak Uvod: Povreda traheje predstavlja životno ugrožava-juću povredu. U velikom broju slučajeva povreda traheje nastaje jatrogeno, i to kod pacijenata kod kojih je zabe-leženo otežano uspostavljanje disajnog puta. Postoje dva različita načina zbrinjavanja povrede traheje, konzerva-tivni i hirurški. U radu je prikazan slučaj pacijentkinje kod koje je povreda traheje konzervativno tretirana sa uspešnim ishodom lečenja. Prikaz slučaja: U regional-nom zdravstvenom centru, prilikom intubacije uslovljene kompomitovanim disajnim putem, usled anafilaktičkog šoka došlo je do povrede traheje kod pacijentkinje stare 55 godina. Tri dana posle povrede, pacijentkinja je trans-portovana u našu ustanovu, sedirana, intubirana i me-hanički ventilirana. Uočeno je da bolesnica ima potkožni emfizem u predelu glave, vrata, grudnog koša i gornjih ekstremiteta. Multislajsna kompjuterizovana tomografi-ja vrata i bronhoskopska eksploracija disajnog puta su ukazale na postojanje uzdužnog rascepa zadnjeg zida traheje, dužine oko 5 cm, koji se prostire do 1,5 cm iznad karine traheje i otvara se tokom inspirijuma. Klinički pa-rametri, kao i visok procenat zastupljenosti komplikacija prilikom operativnog rešavanja rascepa traheje uticali su na konzilijarnu odluku da se pokuša konzervativno zbri-njavanje povrede. Pacijentkinja je potpuno oporavljena konzervativnim tretmanom. Traheobronhoskopski je pot vrđeno zarastanje zida traheje i pacijentkinja je posle 13 dana napustila jedinicu intenzivnog lečenja. Posle 22 dana od povređivanja, pacijentkinja je otpuštena iz bolnice na kućno lečenje. Zaključak: Ovaj prikaz slučaja ukazuje da konzervativni tretman jatrogene povrede tra-heje može biti uspešan i kod dužih rascepa, čija veličina uslovljava hirurški zahvat. Ključne reči: povreda traheje; konzervativni tret-man; jatrogena povreda Summary Introduction: The difficulties during airway management can lead to iatrogenic tracheal injury. Conservative and surgical treatments are possible treatments. We present the case of a patient with iatrogenic tracheal injury treated conservatively. Case report: 55 years old female patient was transferred to our intensive care unit from a regional health center. Edema compromised airway as a consequence of anaphylactic shock was difficult to establish. Three days after tracheal injury the patient was transported to our institution. At admission, patient was under sedation with trachea intubated with tracheal tube and mechanically ventilated. Physical examination revealed subcutaneous emphysema in the region of head, neck, chest and upper extremities. Multi slice computerized tomography and tracheo-bronchoscopic exploration revealed longitudinal gap localized at posterior wall of the trachea, approximately 5 cm long, with distal end 1.5 cm above the tracheal carina. Tracheal split was completely closed after 13 days. The patient was discharged from the hospital after 22 days. Conclusion: Iatrogenic tracheal injury can be treated successfuly using conservative measures after appropriate patient assessment and tre...

Mastocytosis refers to a group of diseases characterized by a clonal proliferation and accumulation of mast cells in one or more tissues/organs with different clinical presentations. In children, limited cutaneous forms of mastocytosis are rather frequent, while systemic mastocytosis is rare. The diagnosis of cutaneous mastocytosis is based on clinical findings and histopathology. We present a patient who developed skin lesions at the age of 18 months. Clinical findings, confirmed by histopathology, were consistent with diffuse cutaneous mastocytosis. The follow-up period was 7 years. The treatment included oral antihistamines in combination with mast cell stabilizers, mild topical steroids and avoidance of friction. During the follow-up period, there were no signs of systemic involvement, and the quality of life was preserved, despite the large surface of affected skin. This case report should increase the awareness and knowledge of clinicians about this rare form of cutaneous mastocytosis in the pediatric population.