A rare cause of odynophagia: infected tracheal diverticulum
Year 2015,
Volume: 25 Issue: 2, 126 - 130, 20.05.2015
Neslin Şahin
Aynur Solak
Berhan Genç
Abstract
Tracheal diverticulum is a relatively rare lesion. Tracheal diverticula are divided into two subgroups as congenital and acquired with different characteristics and etiologies. The majority of these anomalies is asymptomatic and found as incidental findings on radiological imaging. This article presents a case of an infected tracheal diverticulum presenting with odynophagia. It should be noted that infection may obstruct the air-filled lumen of the diverticulum, causing a diagnostic challenge. Multislice computed tomography with coronal reconstructed images is the modality of choice for diagnosing diverticulum and assessing therapeutic response in associated complications
References
- Rokitansky K. On the diverticulum similar to the dilatation of the trachea. Med Jahrb Kais Königl Ost St. 1838;16:374-84. [Abstract]
- Early EK, Bothwell MR. Congenital tracheal diverticulum. Otolaryngol Head Neck Surg 2002;127:119-21.
- Teh BM, Hall C, Kleid S. Infected tracheocoele (acquired tracheal diverticulum): case report and literature review. J Laryngol Otol 2011;125:540-5.
- Goo JM, Im JG, Ahn JM, Moon WK, Chung JW, Park JH, et al. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance. AJR Am J Roentgenol 1999;173:65-70.
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- Solak A, Genc, B, Sahin N, Kalaycioglu S. Tracheal diverticulum: incidence in routine chest tomography and its relation with smoking history. Turkiye Klinikleri J Med Sci 2013;33:73-80.
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- Monroe MM, McLean M, Gross ND. Infected tracheal diverticulum presenting as a cervical abscess. Otolaryngol Head Neck Surg 2011;145:513-4.
- Kim YJ, Kim EK, Kim J, Park CS. Paratracheal air cysts: sonographic findings in two cases. Korean J Radiol 2003;4:136-9.
Nadir bir yutkunma güçlüğü nedeni: Enfekte trakeal divertikül
Year 2015,
Volume: 25 Issue: 2, 126 - 130, 20.05.2015
Neslin Şahin
Aynur Solak
Berhan Genç
Abstract
Trakeal divertikül oldukça nadir bir lezyondur. Trakeal divertiküller farklı özellikleri ve etyolojileri ile doğuştan ve edinsel olmak üzere iki alt gruba ayrılır. Bu anomalilerin çoğunluğu asemptomatiktir ve radyolojik görüntülemede rastlantısal olarak saptanır. Bu yazıda yutkunma güçlüğünün eşlik ettiği bir enfekte trakeal divertikül olgusu sunuldu. Enfeksiyonun hava içeren divertikül lümenini tıkayarak tanısal güçlük yaratabileceği göz önünde bulundurulmalıdır. Koronal rekonstrüksiyon görüntüleri ile çokkesitli bilgisayarlı tomografi divertikül tanısı koymada ve eşlik eden komplikasyonların tedavisine yanıtı değerlendirmede tercih edilmesi gereken yöntemdir
References
- Rokitansky K. On the diverticulum similar to the dilatation of the trachea. Med Jahrb Kais Königl Ost St. 1838;16:374-84. [Abstract]
- Early EK, Bothwell MR. Congenital tracheal diverticulum. Otolaryngol Head Neck Surg 2002;127:119-21.
- Teh BM, Hall C, Kleid S. Infected tracheocoele (acquired tracheal diverticulum): case report and literature review. J Laryngol Otol 2011;125:540-5.
- Goo JM, Im JG, Ahn JM, Moon WK, Chung JW, Park JH, et al. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance. AJR Am J Roentgenol 1999;173:65-70.
- Buterbaugh JE, Erly WK. Paratracheal air cysts: a common finding on routine CT examinations of the cervical spine and neck that may mimic pneumomediastinum in patients with traumatic injuries. AJNR Am J Neuroradiol 2008;29:1218-21.
- Solak A, Genc, B, Sahin N, Kalaycioglu S. Tracheal diverticulum: incidence in routine chest tomography and its relation with smoking history. Turkiye Klinikleri J Med Sci 2013;33:73-80.
- Charest M, Sirois C, Cartier Y, Rousseau J. Infected tracheal diverticulum mimicking an aggressive mediastinal lesion on FDG PET/CT: an interesting case with review of the literature. Br J Radiol 2012;85:17-21.
- Monroe MM, McLean M, Gross ND. Infected tracheal diverticulum presenting as a cervical abscess. Otolaryngol Head Neck Surg 2011;145:513-4.
- Kim YJ, Kim EK, Kim J, Park CS. Paratracheal air cysts: sonographic findings in two cases. Korean J Radiol 2003;4:136-9.