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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) Pathologic findings confirmed the deformation of tracheal cartilage (hematoxylin and eosin stain [H&E], loupe magnification). (B) Histopathological findings of the trachea demonstrated a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic changes (H&E, original magnification ×200).
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fig02: (A) Pathologic findings confirmed the deformation of tracheal cartilage (hematoxylin and eosin stain [H&E], loupe magnification). (B) Histopathological findings of the trachea demonstrated a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic changes (H&E, original magnification ×200).

Mentions: After confirming the airway patency by postoperative bronchoscopy on the following day, extubation was successfully performed. In pathological findings, a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic change of the trachea were detected (Fig. 2A, B). Although the trachea still remains stenotic (Fig. 1E), the patient is currently free of symptoms.


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) Pathologic findings confirmed the deformation of tracheal cartilage (hematoxylin and eosin stain [H&E], loupe magnification). (B) Histopathological findings of the trachea demonstrated a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic changes (H&E, original magnification ×200).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig02: (A) Pathologic findings confirmed the deformation of tracheal cartilage (hematoxylin and eosin stain [H&E], loupe magnification). (B) Histopathological findings of the trachea demonstrated a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic changes (H&E, original magnification ×200).
Mentions: After confirming the airway patency by postoperative bronchoscopy on the following day, extubation was successfully performed. In pathological findings, a deformation of the tracheal cartilage and an extensive interstitial ossification/fibro-elastic change of the trachea were detected (Fig. 2A, B). Although the trachea still remains stenotic (Fig. 1E), the patient is currently free of symptoms.

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