Limits...
Severe tracheal stenosis with tracheopathia osteoplastica-like changes due to traumatic blunt injury.

Kakinuma K, Morikawa K, Miyamoto Y, Saji H, Mineshita M, Miyazawa T - Respirol Case Rep (2014)

Bottom Line: Approximately one month after being discharged from the hospital, the patient experienced gradually progressive dyspnea on exertion.Chest computed tomography revealed severe upper tracheal stenosis; thus, emergency tracheotomy and subsequent tracheoplasty were performed.Microscopically, the deformation of tracheal cartilage and extensive interstitial ossification/fibro-elastic changes were observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Respiratory and Infectious Diseases, St. Marianna University School of Medicine Kawasaki, Japan.

ABSTRACT
A 17-year-old man was injured in a motorcycle accident, leading to a complex cerebral contusion and hepatic injury. Approximately one month after being discharged from the hospital, the patient experienced gradually progressive dyspnea on exertion. Chest computed tomography revealed severe upper tracheal stenosis; thus, emergency tracheotomy and subsequent tracheoplasty were performed. Microscopically, the deformation of tracheal cartilage and extensive interstitial ossification/fibro-elastic changes were observed. To our knowledge, this is the first report documenting the ossification of the trachea that rapidly progressed after injury, which was confirmed by surgical resection of the upper trachea.

No MeSH data available.


Related in: MedlinePlus

(A) Chest radiograph 90 days after injury showed upper tracheal stenosis. (B) Chest computed tomography (CT) on admission demonstrated a long segmental stenosis below the vocal cords. (C) The stenosis was visualized with a three-dimensional CT on admission showing a bottle neck pattern with a length of 27 mm. (D) Bronchoscopic findings of emergency tracheotomy showed a pinhole stenosis with adhesion and deformation of tracheal cartilage. (E) Airway patency was confirmed by bronchoscopy 6 months after surgery. (F) The initial CT taken at the previous hospital showed tracheal swelling at the upper area of the stenosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4263500&req=5

fig01: (A) Chest radiograph 90 days after injury showed upper tracheal stenosis. (B) Chest computed tomography (CT) on admission demonstrated a long segmental stenosis below the vocal cords. (C) The stenosis was visualized with a three-dimensional CT on admission showing a bottle neck pattern with a length of 27 mm. (D) Bronchoscopic findings of emergency tracheotomy showed a pinhole stenosis with adhesion and deformation of tracheal cartilage. (E) Airway patency was confirmed by bronchoscopy 6 months after surgery. (F) The initial CT taken at the previous hospital showed tracheal swelling at the upper area of the stenosis.

Mentions: A 17-year-old man, without notable past or familial history, was injured in a traffic accident while driving a motorcycle. The patient's injuries comprised a complex cerebral contusion and hepatic trauma with severe intra-abdominal bleeding. The patient was immediately intubated and hepatic artery embolization was performed. The general condition gradually improved during the first week after admission. However, approximately one month after being discharged from the hospital, he experienced dyspnea on exertion, which gradually worsened. The patient complained of difficulty sleeping in supine position and instead felt better in prone position. Upper tracheal stenosis was diagnosed by chest X-ray (Fig. 1A) and chest computed tomography (CT) at a local hospital, and he was immediately referred to our institution.


Severe tracheal stenosis with tracheopathia osteoplastica-like changes due to traumatic blunt injury.

Kakinuma K, Morikawa K, Miyamoto Y, Saji H, Mineshita M, Miyazawa T - Respirol Case Rep (2014)

(A) Chest radiograph 90 days after injury showed upper tracheal stenosis. (B) Chest computed tomography (CT) on admission demonstrated a long segmental stenosis below the vocal cords. (C) The stenosis was visualized with a three-dimensional CT on admission showing a bottle neck pattern with a length of 27 mm. (D) Bronchoscopic findings of emergency tracheotomy showed a pinhole stenosis with adhesion and deformation of tracheal cartilage. (E) Airway patency was confirmed by bronchoscopy 6 months after surgery. (F) The initial CT taken at the previous hospital showed tracheal swelling at the upper area of the stenosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263500&req=5

fig01: (A) Chest radiograph 90 days after injury showed upper tracheal stenosis. (B) Chest computed tomography (CT) on admission demonstrated a long segmental stenosis below the vocal cords. (C) The stenosis was visualized with a three-dimensional CT on admission showing a bottle neck pattern with a length of 27 mm. (D) Bronchoscopic findings of emergency tracheotomy showed a pinhole stenosis with adhesion and deformation of tracheal cartilage. (E) Airway patency was confirmed by bronchoscopy 6 months after surgery. (F) The initial CT taken at the previous hospital showed tracheal swelling at the upper area of the stenosis.
Mentions: A 17-year-old man, without notable past or familial history, was injured in a traffic accident while driving a motorcycle. The patient's injuries comprised a complex cerebral contusion and hepatic trauma with severe intra-abdominal bleeding. The patient was immediately intubated and hepatic artery embolization was performed. The general condition gradually improved during the first week after admission. However, approximately one month after being discharged from the hospital, he experienced dyspnea on exertion, which gradually worsened. The patient complained of difficulty sleeping in supine position and instead felt better in prone position. Upper tracheal stenosis was diagnosed by chest X-ray (Fig. 1A) and chest computed tomography (CT) at a local hospital, and he was immediately referred to our institution.

Bottom Line: Approximately one month after being discharged from the hospital, the patient experienced gradually progressive dyspnea on exertion.Chest computed tomography revealed severe upper tracheal stenosis; thus, emergency tracheotomy and subsequent tracheoplasty were performed.Microscopically, the deformation of tracheal cartilage and extensive interstitial ossification/fibro-elastic changes were observed.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Division of Respiratory and Infectious Diseases, St. Marianna University School of Medicine Kawasaki, Japan.

ABSTRACT
A 17-year-old man was injured in a motorcycle accident, leading to a complex cerebral contusion and hepatic injury. Approximately one month after being discharged from the hospital, the patient experienced gradually progressive dyspnea on exertion. Chest computed tomography revealed severe upper tracheal stenosis; thus, emergency tracheotomy and subsequent tracheoplasty were performed. Microscopically, the deformation of tracheal cartilage and extensive interstitial ossification/fibro-elastic changes were observed. To our knowledge, this is the first report documenting the ossification of the trachea that rapidly progressed after injury, which was confirmed by surgical resection of the upper trachea.

No MeSH data available.


Related in: MedlinePlus