ABSTRACT
Tracheopathia osteoplastica is a benign cartilaginous and osseous metaplasia of the laryngo-tracheobronchial tree diagnosed more commonly in adults over 50 years of age. We report here the case of a 54-year-old man who underwent thyroidectomy for multinodular goiter. Immediately after an uneventful surgery, he developed an acute respiratory failure with radiologic picture of Adult Respiratory Distress Syndrome. Mechanical ventilation was set up again, bronchoscopy with biopsy disclosed a massive tracheobronchial haemorrhage from a tracheopathia osteoplastica. Supportive treatment was successfully provided and the patient resumed to a normal life 14 days after the operation.
Subject(s)
Goiter/surgery , Hemothorax/etiology , Respiratory Distress Syndrome/etiology , Thyroidectomy/adverse effects , Tracheal Diseases/etiology , Tracheal Diseases/pathology , Biopsy, Needle , Bronchoscopy/methods , Follow-Up Studies , Goiter/pathology , Hemothorax/physiopathology , Hemothorax/therapy , Humans , Immunohistochemistry , Male , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/surgery , Respiration, Artificial , Respiratory Distress Syndrome/physiopathology , Respiratory Distress Syndrome/therapy , Risk Assessment , Thyroidectomy/methods , Tracheal Diseases/therapy , Treatment OutcomeABSTRACT
Tracheopathia osteoplastica is a benign cartilaginous and osseous metaplasia of the laryngo-tracheobronchial tree diagnosed more commonly in adults over 50 years of age. We report here the case of a 54-year-old man who underwent thyroidectomy for multinodular goiter. Immediately after an uneventful surgery, he developed an acute respiratory failure with radiologic picture of Adult Respiratory Distress Syndrome. Mechanical ventilation was set up again, bronchoscopy with biopsy disclosed a massive tracheobronchial haemorrhage from a tracheopathia osteoplastica. Supportive treatment was successfully provided and the patient resumed to a normal life 14 days after the operation.
Subject(s)
Hemorrhage/etiology , Laryngeal Diseases/complications , Respiratory Insufficiency/etiology , Tracheal Diseases/complications , Acute Disease , Humans , Laryngeal Diseases/pathology , Male , Middle Aged , Tracheal Diseases/pathologyABSTRACT
An 82 years-old man is admitted for suspicion of bronchial cancer. He has a persistent cough, repeated bronchial infections and haemoptysis. On thoracic CT-scan, there is an increased thickness of the bronchial walls situated at the tracheobronchial cross.
