A 31 yo female patient came to Medic Center for loss of her voice and dyspnea. For 2 years she had got suddenly deafness after giving birth. During 6 months, she coughs slightly and complaints dyspnea, getting worse when making every effort. There are slight whistles of her chest in 2 phases of breathing which are more clear in fast breathing.
Laryngoscopy showed normal appearance and normal motion of vocal cords, but no sound in speaking.
Bronchial endoscopy was done easily, lumen were smooth and soft, no obstacle, but getting stenosis in first part of trachea and bronchii which were thought to be a tracheobronchomalacia.
Chest CT confirmed the result of bronchial endoscopy that an unknown stenosis of 1/3 upper part of trachea, stenosis of right and left main bronchii, and right intermediate bronchiole. And an old scar of right lung apex.
Because of dyspnea getting worse so she underwent a tracheostomy. After tracheostomy, chest CT proved total stenosis of trachea, and stenosis of right and left main bronchii, and right intermediate bronchiole.
Surgery was performed to repair the trachea. And the final diagnosis is an acquired tracheobronchomalacia which causes stenosis of trachea and main bronchii. For the cause of this case is still unknown and with the deafness we may think about the immunologic reaction of a polychondritis.
No comments:
Post a Comment