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Liang C, Zhang L, Yu J, Miao C. Complicated Airway Management Because of Multiple Tracheal Diverticula in a Patient with Mounier-Kuhn Syndrome. Anesthesiology 2024; 140:291-292. [PMID: 38063471 DOI: 10.1097/aln.0000000000004813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2024]
Affiliation(s)
- Chao Liang
- Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China
| | - Li Zhang
- Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Jian Yu
- Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Changhong Miao
- Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China; Department of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China
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Li ZH, Wang RJ, Gao S. Tracheobronchomegaly (Mounier-Kuhn syndrome): a case report. QJM 2023; 116:792-793. [PMID: 37280090 DOI: 10.1093/qjmed/hcad109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Indexed: 06/08/2023] Open
Affiliation(s)
- Z-H Li
- Department of Respiratory and Critical Care Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei, China
| | - R-J Wang
- Department of Respiratory and Critical Care Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei, China
| | - Shan Gao
- Department of Respiratory and Critical Care Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, Hubei, China
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Srivali N, De Giacomi F. Mounier-Kuhn Syndrome: A Rare Cause of Recurrent Chest Infection. Arch Bronconeumol 2021; 57:655. [PMID: 35699051 DOI: 10.1016/j.arbr.2020.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Accepted: 12/30/2020] [Indexed: 06/15/2023]
Affiliation(s)
- Narat Srivali
- Division of Pulmonary Medicine (NS), St. Agnes Hospital, Baltimore, MD 21229, USA; Respiratory Unit (FDG), Cremona Hospital, Cremona, Italy.
| | - Federica De Giacomi
- Division of Pulmonary Medicine (NS), St. Agnes Hospital, Baltimore, MD 21229, USA; Respiratory Unit (FDG), Cremona Hospital, Cremona, Italy
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Affiliation(s)
- Aswin Chandran
- Otorhinolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
| | - Prem Sagar
- Otorhinolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
| | - Ashu Seith Bhalla
- Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
| | - Rajeev Kumar
- Otorhinolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
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Kaya AG, Çiledağ A, Atasoy Ç, Karnak D. Flexible bronchoscopy and mechanical ventilation in managing Mounier-Kuhn syndrome: a case report. SAO PAULO MED J 2018; 136:266-269. [PMID: 28443953 PMCID: PMC9907747 DOI: 10.1590/1516-3180.20160336270117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2017] [Accepted: 01/27/2017] [Indexed: 11/22/2022] Open
Abstract
CONTEXT Mounier-Kuhn syndrome is a rare congenital condition with distinct dilatation and diverticulation of the tracheal wall. The symptoms may vary and the treatment usually consists of support. CASE REPORT The patient was a 60-year-old male with recurrent hospital admission. He was admitted in this case due to dyspnea, cough and sputum production. An arterial blood sample revealed decompensated respiratory acidosis with moderate hypoxemia. A chest computed tomography (CT) scan showed dilatation of the trachea and bronchi, tracheal diverticula and bronchiectasis. Flexible bronchoscopy was performed, which revealed enlarged airways with expiratory collapse. Furthermore, orifices of tracheal diverticulosis were also detected. Non-invasive positive pressure ventilation (NPPV) was added, along with long-term oxygen therapy. At control visits, the patient's clinical and laboratory findings were found to have improved. CONCLUSION Flexible bronchoscopy can be advocated for establishing the diagnosis and non-invasive mechanical ventilation can be used with a high success rate, for clinical wellbeing in Mounier-Kuhn syndrome.
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Affiliation(s)
- Aslihan Gürün Kaya
- MD. Professor, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.
| | - Aydin Çiledağ
- MD. Professor, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.
| | - Çetin Atasoy
- MD. Professor, Department of Radiology, Ankara University School of Medicine, Ankara, Turkey.
| | - Demet Karnak
- MD. Professor, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.
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Abstract
Tracheobronchomegaly (Mounier-Kuhn syndrome) is a rare condition characterized by an abnormally enlarged trachea and main bronchi. Herein, we present a case of 79-year-old male with idiopathic pulmonary fibrosis and acute hypoxemic respiratory failure due to multilobar pneumonia. Computed tomography of the chest demonstrated a markedly dilated trachea, with the transverse diameter of 31mm and the sagittal diameter of 30mm. The clinical manifestations as well as its diagnosis, classification, and treatment are discussed.
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Affiliation(s)
- Jirat Chenbhanich
- Department of Internal Medicine, Metrowest Medical Center, 115 Lincoln St, Framingham, MA 01702, USA.
| | - Juan Villa-Camacho
- Department of Internal Medicine, Metrowest Medical Center, 115 Lincoln St, Framingham, MA 01702, USA.
| | - Jason Konter
- Department of Internal Medicine, Metrowest Medical Center, 115 Lincoln St, Framingham, MA 01702, USA; Division of Pulmonary and Critical Care Medicine, Metrowest Medical Center, 115 Lincoln St, Framingham, MA 01702, USA.
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Affiliation(s)
- Charles Lerner
- Department of Internal Medicine, Carl R. Darnall Army Medical Center, Fort Hood, TX.
| | - Raj Patel
- Sarver Heart Center, University of Arizona, Tucson
| | - Karan Julka
- Athens Pulmonary and Sleep Medicine, Athens, GA
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9
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Sun B, Dai HP. [Tracheobronchomegaly: a report of 3 cases and literature review]. Zhonghua Jie He He Hu Xi Za Zhi 2011; 34:600-603. [PMID: 22168983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVE To analyze the clinical, radiological, and pathological characteristics of tracheobronchomegaly (TBM, Mounier-Kuhn syndrome). METHODS The clinical, radiological and pathological characteristics of 3 cases of TBM were analyzed, and the literatures were reviewed. RESULTS All 3 patients were men, between the age of 58 - 71 years old. From the onset to diagnosis, the shortest time was 2 months, and the longest 43 years. The most usual presentations included recurrent cough and sputum, and occasional haemoptysis. In the advanced stage of the disease, patients would present shortness of breath and the symptoms associated with respiratory failure because of the reduction in pulmonary function. All the diagnoses were confirmed by X-ray and CT of the chest finding that the trachea and the main bronchi dilated markedly. After anti-infection treatment, all patients recovered. Mounier-Kuhn syndrome was a rare congenital abnormality characterized by atrophy or absence of elastic fibers and thinning of smooth muscle layer in the trachea and main bronchi. These airways were thus flaccid and markedly dilated on inspiration and collapsed on expiration. The usual presentation was recurrent respiratory tract infections with a broad spectrum of functional impairment ranging from minimal disease with preservation of lung function to severe disease in the form of bronchiectasis, emphysema and pulmonary fibrosis, ultimately culminating in respiratory failure and death. Computed tomography scan of the chest was used for the diagnosis. Treatment was mainly supportive with chest physiotherapy and antibiotics. CONCLUSIONS Mounier-Kunh syndrome should be suspected in patient with recurrent respiratory infections and chronic sputum production. A careful analysis of the central airways at the chest radiograph of these patients is required.
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Affiliation(s)
- Bing Sun
- Beijing Institute of Respiratory Medicine, Department of Respiratory and Critical Care Medicine, Beijing, China
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Kent BD, Sulaiman I, Akasheh NB, Nadarajan P, Moloney E, Lane SJ. An unusual cause of spontaneous pneumothorax: the Mounier-Kuhn syndrome. Ir Med J 2011; 104:152-153. [PMID: 21736094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
We present the case of a 54-year old woman referred to our service with an unusual presentation of an under-diagnosed condition. A life-long non-smoker, she was referred to respiratory services by our emergency department with a left sided pneumothorax, progressive dyspnoea on exertion, and recurrent chest infections. Subsequent investigation yielded findings consistent with Mounier-Kuhn syndrome (Tracheobronchomegaly), a condition characterised by marked dilatation of the proximal airways, recurrent chest infection, and consequent emphysema and bronchiectasis. Although rarely diagnosed, some degree of Mounier-Kuhn syndrome may occur in up to 1 in 500 adults.
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Affiliation(s)
- B D Kent
- Department of Respiratory Medicine, Pulmonary and Sleep Disorders Unit, St Vincent's University Hospital, Dublin 4.
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Braham W, Daboussi S, Darouaz S, Ben Salem H, Boudawara N, Knani J. [An unusual association: tracheobronchomegaly with a normal pulmonary function test]. Rev Pneumol Clin 2010; 66:363-366. [PMID: 21167446 DOI: 10.1016/j.pneumo.2009.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2009] [Revised: 10/27/2009] [Accepted: 10/28/2009] [Indexed: 05/30/2023]
Abstract
Tracheobronchomegaly is a rare condition characterised by marked dilation of the trachea and the main bronchi. The clinical presentation of this disease is nonspecific and the diagnosis is based on the radiological features, especially computed tomography of chest. Pulmonary function tests are often abnormal showing airflow limitation with increased residual volume. The authors report a rare case of a 31-year-old man presenting tracheobronchomegaly is normal pulmonary function test.
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Affiliation(s)
- W Braham
- Service de pneumologie et d'allergologie, CHU Tahar Sfar, 5111 Hiboun, Mahdia, Tunisie.
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Ghanei M, Peyman M, Aslani J, Zamel N. Mounier-Kuhn syndrome: a rare cause of severe bronchial dilatation with normal pulmonary function test: a case report. Respir Med 2007; 101:1836-9. [PMID: 17428651 DOI: 10.1016/j.rmed.2007.02.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2007] [Accepted: 02/09/2007] [Indexed: 10/23/2022]
Abstract
Tracheobronchomegaly (TBM) (Mounier-Kuhn syndrome) is dilatation of the trachea and major bronchi because of atrophy or absence of elastic fibers and smooth muscle cells. We present a case of TBM with normal pulmonary function test (PFT). The patient was a 37-year-old man with increasing productive cough and without fever, wheezes, chest pain, weight loss or any respiratory disease. Chest helical computed tomography (CT) scan showed tracheomegaly with transversal diameters of the trachea of 44mm. CT scan showed collapse of the trachea. Few large diverticular out-pouching and openings in the trachea was seen in bronchoscopy. PFT results were normal. PFT in large airway disorders may be normal while abnormalities may indicate underlying small airway disorder. An underlying small airway disorders is responsible for abnormal reports in PFT of these patients. We may need to re-evaluate the role of PFT within follow-up of patients with large airway disorder.
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Affiliation(s)
- Mostafa Ghanei
- Pulmonologist, Baqiyatallah University of Medical Sciences, Mollasadra Street, Tehran, Iran.
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13
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Westerlaan HE, Willems TP, Oudkerk M. Tracheobronchomegaly with bullous emphysema. JBR-BTR 2006; 89:164-5. [PMID: 16883774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Affiliation(s)
- H E Westerlaan
- Department of Radiology, University Hospital Groningen, Groningen, The Netherlands
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14
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Nalepa P, Pasowicz M, Moczulski Z, Zietek A, Bosak J, Stankiewicz Z. [Mounier-Kuhn syndrome (tracheobronchomegaly)]. Pol Merkur Lekarski 2005; 19:71-4. [PMID: 16194031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The case presents a 43 years old man, cigarette smoker, exposed to wood dust at work, with chronic, ineffective cough symptoms, limited physical exertion and recurring respiratory system infection. Disorders appeared at the age of 33 after severe double-sided pneumonia. Despite the lack of active clinical infection the following microorganisms: Pseudomonas aeruginosa and Staphylococcus aureus MSSA were isolated from patient bronchi mucus. Diagnosis followed image examination (CT, virtual bronchofibroscope). The following was recommended: quitting smoking, avoiding dust exposure at work, physiotherapy to ease mucus removal from bronchi and preventive vaccination. Tracheobronchomegaly consists in trachea clearance and central bronchi widening which disturbs air flow in air-passages and decreases cough effectiveness. Main symptoms are: paroxysmal cough, recurring bronchi inflammation and pneumonia resulting in mucus residing in air-passages.
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Affiliation(s)
- Piotr Nalepa
- Krakowski Szpital Specjalistyczny im. Jana Pawla II, 11 Oddział Chorób Płuc.
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15
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Bousnina S, Smaoui M, Hassine E, Marniche K, El Fekih L, Megdiche ML, Chabbou A. [Mounier-Kuhn syndrome: a rare cause of bronchial dilatation]. Rev Pneumol Clin 2005; 61:122-4. [PMID: 16012368 DOI: 10.1016/s0761-8417(05)84800-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Affiliation(s)
- S Bousnina
- Service de Pneumologie, Pavillon II, Hôpital Abderrahman-Mami, 2080 L'Ariana/Tunis, Tunisie.
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Menon B, Malik A, Chugh A, Vashishat B. Radiological appearances in a rare case of tracheomegaly, tracheal diverticulosis, bronchomegaly and bronchiectasis. Indian J Chest Dis Allied Sci 2005; 47:39-41. [PMID: 15704714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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17
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Sørensen PG, Christensen KM, Skjødt S, Christiansen ED. [Spontaneous pneumothorax and fibrosing pulmonary disease]. Ugeskr Laeger 2004; 166:2906-7. [PMID: 15449531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
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18
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Al-Mubarak HF, Husain SA. Tracheobronchomegaly-Mounier-Kuhn syndrome. Saudi Med J 2004; 25:798-801. [PMID: 15195215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023] Open
Abstract
Tracheobronchomegaly is a rare disorder of uncertain etiology, characterized by marked dilatation of the trachea and major bronchi, associated with tracheal diverticulosis, bronchiectasis and recurrent respiratory tract infection. We are reporting a 60-year-old man from the Kingdom of Saudi Arabia with this condition and review the literature for such a rare entity.
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Affiliation(s)
- Hatem F Al-Mubarak
- Pulmonary Function Test Laboratory, Pulmonary and Critical Care Division, Department of Medicine (38), King Khalid University Hospital, PO Box 2925, Riyadh 11461, Kingdom of Saudi Arabia.
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Lebreton S, Assouline P, Venketasawmy S, Kardache M, Oliviero G. Une toux persistante chez un saxophoniste. Rev Mal Respir 2004; 21:158-60. [PMID: 15260052 DOI: 10.1016/s0761-8425(04)71249-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S Lebreton
- Service de Pneumologie, Hôpital de Longjumeau, France
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20
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Abstract
Reports of Mounier-Kuhn Syndrome in childhood are extremely rare, as it usually presents in the third or fourth decades. In the only other report of a case diagnosed in early childhood, the child was well at the time of publication. We report on a 15-month-old boy who presented with his first respiratory illness at age 3 months. His disease course was more severe than previously reported. Diagnosis was characteristically delayed until acute respiratory failure complicated a respiratory tract infection at 13 months, prompting high-resolution computerized tomography (HRCT) of the chest. He gradually deteriorated, eventually requiring ventilatory support; death occurred at age 15 months. This report illustrates the clinical heterogeneity of the syndrome. We review the theories about etiology and the recognized clinical findings in adults. Incidence may be higher than previously estimated, and tracheobronchomegaly (TBM) should be considered as a cause of respiratory failure and recurrent pneumonia in children where other investigations, including chest X-ray (CXR), are normal. A chest HRCT (cHRCT) scan and bronchoscopy are usually diagnostic.
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Affiliation(s)
- Melissa Hubbard
- Academic Department of Paediatrics, City General Hospital, Stoke on Trent, UK
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Affiliation(s)
- P R Genta
- Pulmonary Division, University of São Paulo School of Medicine, São Paulo, SP, Brazil.
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Sudou A, Hashimoto T, Nakamura H, Sarashina G, Shimizudani N, Yagyuu H, Matsuoka T. [Specific notch in early expiration region of a flow-volume curve in a case of Mounier-Kuhn syndrome]. Nihon Kokyuki Gakkai Zasshi 2003; 41:361-4. [PMID: 12822429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/21/2023]
Abstract
A 75-year-old man presented at our hospital for evaluation of a chronic cough and sputa. Radiographic examination showed enlargement of the trachea and main bronchi. On chest radiography, the transverse diameter of the trachea was 39 mm at the level of the third thoracic spine. On bronchoscopy, the trachea and main bronchi were dilated on inspiration and were completely collapsed on expiration. A 3-D CT examination showed the trachea and main bronchi dilated, and the cartilage of the trachea and bronchi distorted. In pulmonary function testing, this disorder is characterized by the appearance of a specific notch in the early phase of expiration on the flow-volume curve.
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Affiliation(s)
- Akihiko Sudou
- Fifth Department of Internal Medicine, Tokyo Medical University, 3-20-1 Ami-cho, Inashiki-gun, Ibaraki 300-0395, Japan
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Lazzarini-de-Oliveira LC, Costa de Barros Franco CA, Gomes de Salles CL, de Oliveira AC. A 38-year-old man with tracheomegaly, tracheal diverticulosis, and bronchiectasis. Chest 2001; 120:1018-20. [PMID: 11555541 DOI: 10.1378/chest.120.3.1018] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Affiliation(s)
- L C Lazzarini-de-Oliveira
- Pulmonary Department, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Brazil.
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Laurent F, Montaudon M, De Boucaud L, Latrabe V. [Thoracic pathology without apparent radiographic sign: re-interpretation basis]. JOURNAL DE RADIOLOGIE 2001; 82:1089-90. [PMID: 11686153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
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Abstract
Herein we present a case of tracheomegaly seen in a patient with rheumatoid arthritis. To the authors' knowledge, and from a review of the literature, this combination has not been previously described.
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Affiliation(s)
- C Celenk
- Department of Radiology, Faculty of Medicine, Ondokuz Mayýs Universitesi, Samsun, Turkey
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26
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Banerjee S, Sundaram P, Joshi JM. Chronic pulmonary suppuration. Postgrad Med J 2001; 77:272; discussion 282-3. [PMID: 11264503 PMCID: PMC1741998 DOI: 10.1136/pmj.77.906.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- S Banerjee
- Department of Respiratory Medicine, T N Medical College, B Y L Nair Hospital, Mumbai, 400 008 India
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Affiliation(s)
- E M Marom
- Department of Radiology, Box 3808, Duke University Medical Center, Durham, NC 27710, USA
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Affiliation(s)
- J A Ker
- Department of Internal Medicine, University of Pretoria, South Africa
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Yoshitomi A, Kuwata H, Suzuki T, Masuda M, Narushima M, Imokawa S, Tsukamoto K, Suda T, Chida K, Nakamura H. [A case of tracheobronchomegaly]. Nihon Kokyuki Gakkai Zasshi 2000; 38:571-4. [PMID: 11019575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
We report a rare case of tracheobronchomegaly with crescent-type tracheobronchomalacia. A 77-year-old man with a chronic cough was referred to our hospital because of fever and dyspnea. Radiographic examination showed enlargement of the trachea and main bronchi. On chest radiography, the transverse diameter of the trachea was 31 mm, and consolidation shadows were seen in both upper lung fields. Tracheobronchomegaly with pneumonia was diagnosed. The pneumonia was improved by administration of PAPM/BP. On bronchoscopic examination, the trachea and main bronchi were extremely dilated on inspiration, and were collapsed on expiration. The biopsy specimen from the bronchial mucosa showed non-specific chronic inflammation.
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Affiliation(s)
- A Yoshitomi
- Division of Pulmonary Medicine, Shizuoka Red Cross Hospital, Japan
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30
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Sidibe EH. [Mounier-Kuhn syndrome: pulmonary tuberculosis sequela in a diabetic patient]. Rev Pneumol Clin 2000; 56:217-218. [PMID: 10880950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Haugen G, Jenum PA, Scheie D, Sund S, Stray-Pedersen B. Prenatal diagnosis of tracheal obstruction: possible association with maternal pertussis infection. Ultrasound Obstet Gynecol 2000; 15:69-73. [PMID: 10776017 DOI: 10.1046/j.1469-0705.2000.00021.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A fetus with the sonographic appearance of echogenic and enlarged lungs and dilated trachea and bronchi, indicating laryngotracheal obstruction, is reported. Additionally, the fetus had ascites and subcutaneous edema and the amniotic fluid volume was reduced. Doppler flow investigation of the systemic venous circulation revealed signs of heart failure, and color Doppler visualized possible increased pulmonary flow. Following termination of pregnancy, autopsy confirmed the sonographic observations and revealed a hypoplastic thymus. During the present pregnancy the mother suffered from sustained cough, and serological tests revealed acute pertussis infection. Polymerase chain reaction investigation for Bordetella pertussis in the amniotic fluid was negative. The possibilities of pertussis toxins as noxious factors and of an atypical presentation of DiGeorge anomaly are discussed.
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Affiliation(s)
- G Haugen
- Department of Obstetrics and Gynecology, National Hospital, University of Oslo, Norway
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Affiliation(s)
- M A Blake
- Department of Radiology, Boston Medical Center, and Boston University School of Medicine, MA 02118, USA
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Lafaye-Robin ML, Muir JF, Kouziaeff N, Portier F, Cuvelier A, Lepic P. [Treatment of tracheobronchomegaly using the Freitag prosthesis]. Rev Mal Respir 1998; 15:291-4. [PMID: 9677638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Tracheobronchomegaly (TBM) is a rare disorder. It is characterised by a dilatation of the trachea and subsequent bronchial divisions associated with a dynamic pathology, in particular a cough which explains the symptomatology of the patients. We report the observation of a patient suffering from TBM whose clinical progress rapidly improved after the insertion of a Freitag prosthesis. This 60-year-old male presented with a year's history of chronic cough which was painful, cavernous and had been incapacitating associated with moderate dyspnoea of effort. Bronchial endoscopy showed dyskinesia extending almost totally throughout the tracheobronchial tree with complete expiratory collapse. The FEV1, the Vital Capacity and the TLC were subnormal and the PEF was 57% of the predicted. The total airways resistance (RAW) was elevated (306% of the predicted), the arterial blood gases were normal. A CT scan showed a deformed trachea with increased diameter. A tracheobronchial prosthesis of Freitag or Dynamic stent (Rüsch) was inserted with the help of a rigid bronchoscope. One month later the cough had regressed and the effort dyspnoea had disappeared. One year later the clinical improvement persisted with very good tolerance of the prosthesis with normal spirometry despite the persistence of an elevated RAW. Despite a recoil which is still imperfect the tracheobronchial endoprosthesis seems to be a useful treatment for forms of TBM which are potentially progressive.
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Affiliation(s)
- P M Dee
- Department of Radiology, University of Virginia, Charlottesville, 22908, USA
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35
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Montero Martínez MC, Otero González I, Verea Hernando H. [Pneumonia, recurrent respiratory infections and congenital tracheobronchomegaly]. Arch Bronconeumol 1996; 32:209-10. [PMID: 8689022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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36
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Abstract
Brachmann-de Lange syndrome is a well-described congenital disorder. Skeletal anomalies and respiratory infections are its hallmarks. To the known imaging signs, the authors add tracheomegaly, which has not been reported so far.
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Affiliation(s)
- M Grünebaum
- Imaging Department, Schneider Children s Medical Center of Israel, Beilinson Medical Campus, Petah Tiqva 49202, Israel
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37
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Nikitina MI, Orlov AV, Skvortsova ZN, Silant'eva EA. [A case of tracheomegaly with diffuse constriction of peripheral bronchi]. Vestn Rentgenol Radiol 1995:43-4. [PMID: 8629345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Pilavaki M, Anastasiadou K, Vlachojanni E, Drosos H, Petridis A, Drevelengas A. [Tracheobronchomegaly (Mounier-Kuhn syndrome): roentgen findings and tracheal stent instrumentation]. Pneumologie 1995; 49:556-8. [PMID: 8584526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Tracheobronchomegaly is a rare disorder of the lower respiratory tract characterised by marked dilatation of the trachea and the central bronchi associated with recurrent respiratory tract infections. However, some patients with tracheobronchomegaly are not detected because the symptoms are overlooked if chest radiographs alone are used for diagnosis. We encountered two cases of tracheobronchomegaly that were not diagnosed by chest radiographic examinations but were shown clearly with CT. We believe that patients with recurrent pulmonary infection must be examined with the use of CT.
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Affiliation(s)
- M Pilavaki
- Radiologische Abteilung des Allgemeinen Krankenhauses, G. Papanikolaou Thessaloniki, Griechenland
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Villani PC, Ambrosi F, Grimaldi F. [The Mounier-Kuhn syndrome (tracheobronchomegaly). The diagnostic role of computed tomography]. Radiol Med 1995; 90:313-6. [PMID: 7501841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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40
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Joshi JM. Mounier Kuhn syndrome (tracheobronchomegaly)--CT diagnosis. J Assoc Physicians India 1995; 43:567-8. [PMID: 8772981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- J M Joshi
- Department of Respiratory Medicine, BYL Nair Ch. Hospital, Bombay
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41
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Abstract
Tracheobronchomegaly is a rare condition in which anaesthetic experience is limited. Patients with tracheobronchomegaly are at risk of large airway collapse and obstruction, aspiration pneumonitis and tracheal trauma following airway instrumentation. We describe our anaesthetic technique and problems encountered during nephrectomy in a patient with this condition.
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Affiliation(s)
- T M Bourne
- Department of Anaesthetics, Leicester Royal Infirmary
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42
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Goh RH, Dobranowski J, Kanaha L, Kay M. Dynamic computed tomography evaluation of tracheobronchomegaly. Can Assoc Radiol J 1995; 46:212-5. [PMID: 7538884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
The authors report a case of tracheobronchomegaly in a 62-year-old man with chronic expiratory cough. Computed tomography showed dilatation of the trachea on inspiration and complete collapse of the trachea and the proximal bronchi on full expiration. The authors discuss the importance of the collapse on expiration as the cause of the patient's symptoms.
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Affiliation(s)
- R H Goh
- Department of Diagnostic Imaging, St. Joseph's Hospital, Hamilton, Ont
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Rapti A, Drossos C, Tzavelas D, Arapis I, Kapetaneas G, Anagnostopoulou O. Mounier-Kuhn syndrome (tracheobronchomegaly). Monaldi Arch Chest Dis 1995; 50:195-8. [PMID: 7663489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
This paper describes a case of tracheobronchomegaly, which is a rare condition. The radiological, bronchoscopic and computed tomographic (CT) appearance of the condition are described. Together with the patient's history, these examinations are very useful in diagnosis, since, in cases of patients with chronic recurrent respiratory infections, they help us review any anatomical abnormalities.
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Affiliation(s)
- A Rapti
- 8th Dept of the Hospital for Chest Diseases of Athens, Greece
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Abstract
Tracheobronchomegaly (TBM) was diagnosed on chest radiographs as an apparent dilatation of the trachea and main bronchi in four premature infants on prolonged mechanical ventilation for respiratory distress syndrome. In a retrospective study, the parameters of assisted ventilation, the Apgar score, the presence of conatal or later infection, and hypotension were reviewed and analyzed as factors possibly contributing to the pathogenesis of TBM in these infants. The results lead to the conclusion that TBM in premature infants on prolonged ventilatory support is an acquired condition though a congenital defect cannot be excluded as a probable predisposing factor. In the etiopathogenesis of TBM, a repeated barotrauma of prolonged ventilation is a crucial factor while the severity of lung disease and the degree of prematurity, hypotension, infection, and generally poor clinical condition, all appear to be relevant in the development of TBM in a premature infant with respiratory distress syndrome.
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Affiliation(s)
- Z Zupancic
- Department of Radiology, University Medical Center Ljubljana, Zaloska, Slovenia
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Abstract
Tracheobronchomegaly, also known as Mounier-Kühn's Syndrome, is characterized by market dilation of the trachea and main bronchi and has been reported in association with several conditions, particularly connective tissue disease. The pathogenesis and clinical signs of light chain deposition disease are similar to those of light chain amyloidosis, in which these chains are deposited as amorphous material lacking the tinctorial features of the amyloid. We present a case involving both entities, an association that has not been previously reported, and we review the main characteristics of both diseases.
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Affiliation(s)
- O Miró
- Servicio de Medicina Interna General, Hospital Clínic i Provincial, Barcelona
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Abstract
This study set out to determine the frequency of tracheomegaly in brochiectasis as judged by high resolution computed tomography (HRCT) while determining whether the published normal tracheal dimensions derived from radiographic data can be used for CT diagnosis. Seventy-five consecutive adults referred for CT assessment of possible bronchiectasis were studied and compared with a control group of 75 adults being staged for lymphoma. The internal tracheal diameters at aortic arch level of the control group correspond with published radiographic data and using these measurements, 7/42 (17%) patients with bronchiectasis were found to have tracheomegaly, while two of the 33 'symptomatic' patients (i.e. those patients not found to have bronchiectasis) had tracheomegaly. Further analysis confirmed that the bronchiectatic group's tracheal dimensions were significantly different from those of the control group while the 'symptomatic' group are an overlap population. We conclude that tracheomegaly is a frequent finding in bronchiectasis.
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Affiliation(s)
- G H Roditi
- Department of Diagnostic Radiology, Aberdeen Royal Infirmary, Aberdeen Royal Hospitals NHS Trust, Foresterhill
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Abstract
Tracheobronchomegaly is a rare cause of recurrent chest infections often with persistent, unproductive cough. A case is described which presented as a severe life threatening pneumonia in which the bronchoscopic, radiographic, and computed tomographic findings are given.
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Affiliation(s)
- D L Smith
- Department of Respiratory Medicine, Westminster Hospital, London
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Kharitonov VA, Fakhrutdinov AM. [A rare case of tracheobronchomegaly]. Lik Sprava 1993:149-50. [PMID: 8191718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The reported case confirms that tracheobronchomegaly may have a symptomless course. Exacerbation of process may be interpreted as "pneumonia". Only in the long course of the disease without positive clinico-roentgenological dynamics the correct diagnosis is established.
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Abstract
A 36-year-old woman with features of both the Mounier-Kuhn syndrome and the Kenny-Caffey syndrome is described. To our knowledge, this is the first reported case of these syndromes occurring together. Three-dimensional computed tomographic reconstruction of the upper airway revealed marked dilatation of the trachea and main-stem bronchi and several large diverticulae of the trachea.
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Affiliation(s)
- A C Sane
- Department of Pulmonary Medicine, Duke University Medical Center, Durham, NC
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