A Case of Symptomatic Tracheal Diverticulum and Surgical Resection as a Treatment Modality

Abstract

Tracheal diverticulum is often diagnosed incidentally and, due to its rarity, there is no standard treatment. It is a benign entity, but has the potential to cause specific symptoms, such as chronic upper respiratory infection and chronic cough. Symptomatic tracheal diverticulum can be medically treated, but likelihood of recurrence is high. We report a case of surgical resection of symptomatic tracheal diverticulum to prevent recurrence.

Multiple tracheobronchial diverticula in a post‐TB patient: A case report

“…The differentiation of congenital and acquired diverticulum are based on the location, size, and histopathology, with acquired occurring at varying levels in the thoracic cavity usually with wide opening to the air sac 8 . Our patient had not had any symptoms prior to the initial presentation and has multi‐level diverticula, in addition the history of pulmonary tuberculosis in the past, likely suggest an acquired phenomenon.…”

“…Combined bronchoscopic and bronchographic imaging estimated the presence of one or more bronchial diverticula among 30% of patients affected with chronic lung disease 2,7 . The diverticulum can be either congenital or acquired 8 . Clinically most are asymptomatic, and if symptomatic present with chronic cough, dyspnea, stridor, recurrent tracheobronchitis, etc.…”

Paratracheal air cyst in a foal

“…As PACs act as a reservoir for respiratory secretions, secondary infections can occur (Charest et al 2012). Surgical removal has a good prognosis but is typically reserved for patients with symptoms such as chronic upper respiratory infection and cough (Lee et al 2016).…”

“…Surgical removal has a good prognosis but is typically reserved for patients with symptoms such as chronic upper respiratory infection and cough (Lee et al . 2016).…”

An interesting localization of fungus ball: Paratracheal aspergilloma.

“…The incidence has been reported as 1% to 2% in autopsy studies. [3,4] This is a case of aspergilloma developing in an unusual and interesting location: TD.…”