Journal List > Tuberc Respir Dis > v.60(4) > 1000942

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Kim, Song, Choi, Jie, Kwan, Kim, Kim, Moon, Song, and Park: A Case of Tracheal Diverticula in a Hemoptysis Patient with Tuberculosis Sequela and Fungus Ball
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2006; 60(4): 469-472.

Published online: 30 April 2006

DOI: https://doi.org/10.4046/trd.2006.60.4.469

A Case of Tracheal Diverticula in a Hemoptysis Patient with Tuberculosis Sequela and Fungus Ball

Jin Woo Kim, M.D.1, Sun Wha Song, M.D.2, Son Ook Choi, M.D.1, Byoung Soo Jie, M.D.1, Soon Seog Kwan, M.D.1, Young Kyoon Kim, M.D.1, Kwan Hyoung Kim, M.D.1, Hwa Sik Moon, M.D.1, Jeong Sup Song, M.D.1, Sung Hak Park, M.D.1

1Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.

2Department of Radiology, The Catholic University of Korea, College of Medicine, Seoul, Korea.

Address for correspondence: Kwan Hyoung Kim, M.D. Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, 65-1, Kumoh-dong, Uijeongbu Kyonggi-do, 480-130, Korea. Phone: 82-31-820-3000, Fax:82-31-847-2719, kwan-kim@catholic.ac.kr

Received 14 February 2006       Accepted 21 April 2006

Copyright © 2006 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

We experienced a rare case of trachea diverticula combined with the sequela of tuberculosis and a fungus ball. The patient had complained of coughing and hemoptysis for a long time after experiencing tuberculosis. He was admitted due to hemoptysis and the aggravation of coughing. The CT scan showed a variable sized trachea diverticula combined with tuberculosis sequela and a fungus ball in the right lung fields. The diagnosis was made by bronchoscopy and a CT scan. After bronchial artery embolization and conservative treatment, the patient's symptoms improved and the patient was discharged.

Keywords: Trachea diverticulum, Fungus ball

Figures and Tables

Figure 1
Chest radiograph shows large consolidation with air-fluid level in the right lower lobe. Fibroatelectatic tuberculous scar with traction bronchiectasis and bullae in right upper lobe. Right upper pleural thickening and decreased volume of the right upper lobe with right side tracheal deviation are noted. Both lungs are emphysematous.
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Figure 2
Chest CT scan shows a right side tracheal diverticulum. Right upper pleural thickening with right side mediastinal shifting is noted.
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Figure 3A
3-dimensional bronchus CT scan shows multiple diverticula arising from the right side wall of the lower trachea.
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Figure 3B
3-dimensional bronchus CT scan after subtraction of lung lobe.
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Figure 4
Bronchoscopic image shows two lumens at the right posterior wall of trachea.
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References

1. Infante M, Mattavelli F, Valente M, Preda F, Ravasi G. Tracheal diverticulum: rare cause and consequence of chronic cough. Eur J Surg. 1994. 160:315–316.
2. Caversaccio MD, Becker M, Zbaren P. Tracheal diverticulum presenting with recurrent laryngeal nerve paralysis. Ann Otol Rhinol Laryngol. 1998. 107:362–364.
3. Dinner M, Ward R, Yun E. Ventilation difficulty secondary to tracheal diverticulum. Anesthesiology. 1992. 77:586–587.
4. Early EK, Bothwell MR. Congenital tracheal diverticulum. Otolaryngol Head Neck Surg. 2002. 127:119–121.
5. Kang KP, Kim JH, Jin GY, Park SJ, Kim SS, Lee HB, et al. A case of asthma associated with tracheal diverticulum. J Asthma Allergy Clin Immunol. 2003. 23:544–547.
6. Levin TL, Weingart L, Adam HM, Vicencio AG. Congenital HIV and tracheal diverticulosis. AJR Am J Roentgenol. 2004. 183:1115–1116.
7. Jang YH, Lee SA, Park GS, Kim CS, KIM HS. Tracheal diverticulum discovered during endotracheal intubation. Korean J Anesthesiol. 2000. 38:1081–1083.
8. Xiong M, Zhang W, Wang D, Xu J. CT virtual bronchoscopy: imagin methold and clinical application. Chin Med J. 2000. 113:1022–1025.
9. Mackinnon D. Tracheal diverticula. J Pathol Bacteriol. 1953. 65:513–517.
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