Nadir bir öksürük nedeni: trakeal divertikül

Öz

Trakea duvarının invajinasyonu ile karakterize, paratrakeal hava kistlerine neden olan trakeal divertikül nadir görülen bir durumdur. Sigara içme hikayesi olmayan erkek hasta kliniğimize yaklaşık üç aydır süren öksürük şikâyeti ile başvurdu. Fizik muayenesinde akciğer sesleri doğal ve solunum fonksiyon testi normaldi. Toraks bigisayarlı tomografisinde, sağ paratrakeal alanda trakeanın posterolateralinde trakea ile bağlantılı bir hava dansitesinin olduğu görüldü. Hastaya trakeal divertikül ön tanısı ile Fiber-optik bronkoskopide (FOB) yapıldı. Trakeal divertikül hastamızda da olduğu gibi genelde trakeanın sağ duvarında yerleşir. Hastaların çoğunluğu asemptomatiktir. Literatürde nadir olarak bildirilse de öksürük nedeniyle değerlendirilen, özellikle akciğer grafisi ve spirometrenin normal olduğu hastalarda trakeal divertikül tanısını akılda tutmak gerekir.

Anahtar Kelimeler

• öksürük
• trakeal divertikül
• fiberoptik bronkoskopi

A rare cause of cough: tracheal diverticulum

Öz

Tracheal diverticulum, which is characterized by invagination of the tracheal wall and causes paratracheal air cysts, is a rare condition. A male patient without a history of smoking was admitted to our clinic with the complaint of a cough lasting for about three months. Physical examination, chest X-ray, and pulmonary function test were normal. In the thorax computerized tomography, it was observed that there was an air density associated with the trachea in the posterolateral aspect of the trachea in the right paratracheal area. FOB was performed on the patient with the preliminary diagnosis of tracheal diverticulum. Tracheal diverticulum is usually located on the right wall of the trachea, as in our patient. The majority of patients are asymptomatic. Although it is rarely reported in the literature, the diagnosis of tracheal diverticulum should be kept in mind in patients evaluated for cough, especially in patients with normal chest X-ray and spirometry.

Anahtar Kelimeler

• cough
• tracheal diverticulum
• fiber-optic bronchoscopy

Kaynakça

1. Grassi, R., Rea, G., Scaglione, M., Brunese, L., & Scialpi, M. (2000). Imaging of tracheocoele: Report of three cases and review of the literature. Radiologia Medica, 100, 285–287.
2. Kokkonouzis, I., Haramis, D., Kornezos, I., Moschouris, H., Katsenos, S., & Bouchara, S. (2008). Tracheal diverticulum in an asymptomatic male: A case report. Cases Journal, 1, 181. https://doi.org/10.1186/1757-1626-1-181
3. Pinot, D., Breen, D., Peloni, J. M., Gaubert, J. Y., Dutau, H., & Vervloet, D. (2009). An incidental finding in a 34-year-old male under investigation for haemoptysis. European Respiratory Journal, 33, 1227–1229. https://doi.org/10.1183/09031936.00140408
4. Restrepo, S., Villamil, M. A., Rojas, I. C., Lemos, D. F., Echeverri, S., & Triana, G. (2004). Association of two respiratory congenital anomalies: Tracheal diverticulum and cystic adenomatoid malformation of the lung. Pediatric Radiology, 34, 263–266. https://doi.org/10.1007/s00247-004-1112-6
5. Takhar, R. P., Bunkar, M., Jain, S., & Ghabale, S. (2016). Tracheal diverticulum: An unusual cause of chronic cough and recurrent respiratory infections. Tuberkuloz ve Toraks, 64(1), 77–82. https://doi.org/10.5578/tt.9963
6. Tian, T., & Johnson, B. P. (2021). Tracheal diverticulum diagnosed following blunt thoracic trauma. The American Surgeon, 27, 313.
7. Yüce, G. D., & Ulaşlı, S. S. (2012). Chronic cough due to tracheal diverticulum. Respiratory Case Reports, 1(2), 62–64.