Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2016, 160(1):168-170 | DOI: 10.5507/bp.2016.009

Recurrent membranous tracheal stenosis with a diverticulum in a 9-year-old boy. Not all that wheezes is asthma

Frantisek Kopriva^a, Vitezslav Kolek^b

^a Department of Pediatrics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic

^b Department of Respiratory Medicine, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic

Background: Benign tracheobronchial stenosis of the proximal airways may result from a variety of conditions and can cause dyspnea, cough, wheeze or stridor.

Methods and Results: In this report, we describe the case of a 9-year-old boy who was admitted to hospital with wheezing and progressive dyspnea lasting for six months. These abnormalities were diagnosed by multislice CT with 3-dimensional reconstruction of the trachea and by videobronchoscopy which demonstrated severe tracheal stenosis and an orifice of a tracheal diverticulum on the right side of the upper trachea. The stenosis was dilated with a balloon and vaporized with an Nd:YAG laser. Due to recurrent stenosis, the laser procedure had to be repeated several times in an approximately 4-6-month interval.

Conclusion: Association between recurrent membranous tracheal stenosis and a tracheal diverticulum is a rare medical condition.

Keywords: membranous tracheal stenosis, diverticulum, laser

Received: October 10, 2015; Accepted: February 12, 2016; Prepublished online: February 29, 2016; Published: March 30, 2016  Show citation