A rare case of an infected tracheal diverticulum requiring emergency intervention: A case report
| Autor: | Hiroyuki Kashiwagi, Rai Shimoyama, Kazunao Watanabe, Ryuta Fukai, Shota Akabane, Hidemitsu Ogino, Jun Kawachi |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report Computed tomography Airway management digestive system Asymptomatic Tracheal diverticulum Paratracheal mass 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Rare case medicine 030223 otorhinolaryngology Abscess medicine.diagnostic_test business.industry respiratory system medicine.disease digestive system diseases CT computed tomography Surgery Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2016.04.051 |
| Popis: | Highlights • A case of an infected tracheal diverticulum presenting as a paratracheal mass is demonstrated. • An infected tracheal diverticulum can impair the airway and require emergency intervention including surgery. • The most commonly described procedure of surgery is resection via a transverse or lateral neck incision and drainage of the abscess. • A CT scan plays important roles to make a diagnosis and evaluate the necessity of intervention. Introduction Recent advancement in radiological imaging has revealed an increasing amount of asymptomatic abnormalities. Tracheal diverticula are relatively rare entities and are incidentally found on radiological imaging such as computed tomography. Here, we present a case of an infected tracheal diverticulum presenting as a paratracheal mass, which required emergency intervention. Case presentation A 65-year-old Japanese nonsmoker man presented with a fever, lower neck pain, and the aggravation of dyspnea for a week. An enhanced computed tomography scan demonstrated that the trachea was displaced by a paratracheal mass with a well-defined thin wall. His respiratory status was so urgent that emergency intubation and surgical drainage of the abscess were performed. A computed tomography scan performed 4 days after admission demonstrated shrinking of the abscess, and he was extubated and discharged 7 days after admission without any complications. Conclusion To the best of our knowledge, this is the first report to confirm an infected tracheal diverticulum presenting as a paratracheal abscess, which required emergency intervention. Moreover, computed tomography plays an important role in the differentiation of paratracheal masses. |
| Databáze: | OpenAIRE |
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