Spontaneous Tracheal Rupture in a Case of Interstitial Lung Disease (ILD): A Case Report

Kumar, Saurabh; Goel, Sandeep; Bhalla, Ashu Seith

doi:10.7860/jcdr/2015/11320.5996

Cited by 10 publications

(25 citation statements)

References 7 publications

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“…In the literature only a few case reports were reported about spontaneous tracheal rupture. Kumar et al (1) reported spontaneous tracheal rupture in a patient with interstitial lung disease. After chronic cough attack; subcutaneous emphysema and pneumothorax were detected.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Repetitive Tracheal Rupture

İnal¹,

Memiş²,

Tunçbilek³

et al. 2019

tybd

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Tracheal ruptures are one of the rare emergency condition in critical care patients (1). Tracheal ruptures can be formed by cervical/thoracic trauma or iatrogenic (intubation, tracheotomy, bronchoscopy, stent operations, esophagectomy, positive end expiratory pressure) or spontaneously (2,3). Spontaneous tracheal ruptures are reported by different authors in children and adults which had lung diseases, persistent cough, vomiting and chronic steroid usage (1,4-9). Corticosteroids have been widely used in the treatment of chronic obstructive lung disease (COPD) because of the antiinflammatory effects on the airways (10). The corticosteroids had many side effects including truncal obesity, acne, hyperpigmentation, hirsutism, striae, hypokalemia, myopathy, glucose intolerance, pancreatitis, mood alterations, insomnia, psychosis, headache, intracranial hypertension, hypertension, osteoporosis, adrenal insufficiency, gastrointestinal diseases, hyperlipidemia, weakness of connective tissues and myopathy (11,12). The corticosteroids decreased the hydroxyproline production, thus an inhibition on fibroblast growth and collagen synthesis which leads abnormalities on structure of the connective tissues. Also, long term corticosteroid administration induces myopathy with different pathways (11,12). In the literature repetitive spontaneous tracheal rupture was not reported. The authors report a case in which the repetitive spontaneous tracheal rupture in a patient with COPD and bronchiectasis.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Repetitive Tracheal Rupture

İnal¹,

Memiş²,

Tunçbilek³

et al. 2019

tybd

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“…Cervicotomy or cervical mediastinotomy, thoracotomy, endoscopic techniques, skin incisions, subcutaneous drains and tracheostomy were used for surgery (1,2,(14)(15)(16). In our patient we only used skin incisions and tube thoracostomy.…”

Section: Discussionmentioning

confidence: 99%

“…Urgent interventions of tracheal rupture should include X-ray graphy, fibreoptic bronchoscopy and thorax CT (1,2). Determining the correct place of the laceration will help for future therapy options.…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous tracheal ruptures are reported by different authors in children and adults which had lung diseases, persistent cough, vomiting and chronic steroid usage (1,(4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Tracheal ruptures are one of the rare emergency condition in critical care patients (1). Tracheal ruptures can be formed by cervical/thoracic trauma or iatrogenic (intubation, tracheotomy, bronchoscopy, stent operations, esophagectomy, positive end expiratory pressure) or spontaneously (2,3).…”

Section: Introductionmentioning

confidence: 99%

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spontaneous repetitive tracheal rupture

İnal¹,

Memiş²,

Tunçbilek³

et al. 2019

tybd

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Spontaneous rupture of trachea treated conservatively: A case report

Alamassi

Arabi

2022

International Journal of Surgery Case Reports

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Introduction and importance Spontaneous rupture of the trachea is a rare, life-threatening condition. Spontaneous rupture associated with corticosteroid use has been rarely reported in the literature. Case presentation We report a case of a 17-year-old male, a known case of nephrotic syndrome managed by corticosteroid treatment, who presented with diffuse neck and chest swelling after forceful coughing resulting in a spontaneous rupture of the trachea. The diagnosis was established using radiological imaging. The patient was managed conservatively with significant improvement and was discharged shortly. Clinical discussion Prolonged use of corticosteroids may lead to spontaneous rupture of the trachea due to tracheal wall weakness. Radiological imaging followed by bronchoscopy can be used to confirm the diagnosis. Management can either be conservative or surgical, depending on the case. Conclusion Conservative treatment by pain relief, intravenous fluids, and antibiotics should be considered an alternative to surgery in selected patients.

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Spontaneous Tracheal Rupture in a Case of Interstitial Lung Disease (ILD): A Case Report

Cited by 10 publications

References 7 publications

Spontaneous Repetitive Tracheal Rupture

Spontaneous Repetitive Tracheal Rupture

spontaneous repetitive tracheal rupture

Spontaneous rupture of trachea treated conservatively: A case report

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