Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-26T11:07:11.188Z Has data issue: false hasContentIssue false
  • English
  • Français

Infected tracheocoele (acquired tracheal diverticulum): case report and literature review

Published online by Cambridge University Press:  11 February 2011

B M Teh ,
C Hall  and
S Kleid
B M Teh*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health Melbourne, Victoria, Australia
C Hall
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health Melbourne, Victoria, Australia
S Kleid
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Western Health Melbourne, Victoria, Australia
*
Address for correspondence: Dr Bing Mei Teh, School of Surgery, University of Western Australia, M507, 35 Stirling Highway, Crawley, Western Australia, Australia6009 Fax: +61 (08)93464374 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Paratracheal air-filled cysts are rare. Tracheocoele or acquired tracheal diverticulum is the term given to these acquired abnormalities, which usually arise in adults. The majority is asymptomatic, being discovered as incidental findings on radiological imaging.

Methods:

We report the case of a 72-year-old man with a previously identified tracheocoele which became symptomatic following an upper respiratory tract infection. A literature is presented and nomenclature is discussed.

Results:

The clinical presentation, differential diagnosis and management of paratracheal air-filled cysts are discussed.

Conclusion:

While most of these rare abnormalities are discovered incidentally, this case illustrates the fact that significant symptoms can develop; excision should therefore be considered.

Keywords

TracheaDiverticulumCystsDiagnosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 540 - 545
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting, 26–30th March 2010, Sydney, New South Wales, Australia

References

1Rokitansky, K. On the diverticulum similar to the dilatation of the trachea [in German]. Med Jahrb Kais Königl Ost St 1838;16:374–84Google Scholar
2MacKinnon, D. Tracheal, diverticula. J Pathol Bacteriol 1953;65:513–17CrossRefGoogle Scholar
3Mineshita, M, Tajima, O, Kondo, T. Paratracheal air cysts in middle-aged Japanese men. J Bronchol Intervent Pulm 2006;13:6–8Google Scholar
4Goo, J, Im, J, Ahn, J, Moon, W, Chung, J, Park, J et al. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance. Am J Roentgenol 1999;173:65–70CrossRefGoogle ScholarPubMed
5Abramovic, M, Zoric, M. Abnormalities and variations of the tracheo-bronchial trunk. Bronches 1974;24:341–9Google ScholarPubMed
6Gronner, A, Trevino, R. Tracheocoele. Br J Radiol 1971;44:979–81CrossRefGoogle ScholarPubMed
7Addington, E, Rusk, P, Cohen, W. Tracheocele. Am J Roentgenol 1944;52:412–14Google Scholar
8Andersen, H, Clagett, O, Good, C. Trachiectasis with tracheocele: report of case in which a tracheocele was resected. Chest 1953;24:553–7Google ScholarPubMed
9Sullivan, J Jr, Mangiardi, J. Acquired tracheocele: an unusual lesion. Surgical resection in a case associated with trachectasis and bronchiectasis. J Thorac Cardiovasc Surg 1960;39:597–601CrossRefGoogle Scholar
10Scholl, P. Adult, tracheocele. Otolaryngol Head Neck Surg 1994;111:519–21CrossRefGoogle Scholar
11Möller, G, Ten Berge, E, Stassen, C. Tracheocele: a rare cause of difficult endotracheal intubation and subsequent pneumomediastinum. Eur Respir J 1994;7:1376–7CrossRefGoogle ScholarPubMed
12Henderson, C, Harrington, R, Izenberg, S, Dyess, D, Silver, F. Tracheocele after routine tracheostomy. Otolaryngol Head Neck Surg 1995;113:489–90CrossRefGoogle ScholarPubMed
13Mathur, N, Sardana, P, Singh, V, Bais, A. Adult tracheocele with large cervical presentation. J Laryngol Otol 1999;113:364–5CrossRefGoogle ScholarPubMed
14Grassi, R, Rea, G, Scaglione, M, Brunese, L, Scialpi, M. Imaging of tracheocele: report of three cases and review of the literature. Radiol Med (Torino) 2000;100:285–7Google ScholarPubMed
15Piazza, C, Bolzoni, A, Cavaliere, S, Peretti, G. Tracheocoele in a Duchenne muscular dystrophy patient. Case report. Acta Otorhinolaryngol Ital 2003;23:194–8Google Scholar
16Endo, S, Saito, N, Hasegawa, T, Sato, Y, Sohara, Y. Tracheocele: surgical and thoracoscopic findings. Ann Thorac Surg 2005;79:686–7CrossRefGoogle ScholarPubMed
17Porubsky, E, Gourin, C. Surgical treatment of acquired tracheocele. Ear Nose Throat J 2006;85:386–7CrossRefGoogle ScholarPubMed
18Teker, A, Lorenz, R, Lee, W, Murthy, S. Radiology quiz case 1. Diagnosis: tracheocele. Arch Otolaryngol Head Neck Surg 2007;133:940, 942–3CrossRefGoogle ScholarPubMed
19Shah, R, Parikh, S, Johns, M. Radiological quiz case 1. Diagnosis: trachoecele in PubMed. Arch Otolaryngol Head Neck Surg 2007;133:724, 726Google Scholar
20Danielson, G, Jedlovszky, V, Landrigan, G. Tracheal diverticulum: a rare finding in a patient with worsening chronic cough. Ear Nose Throat J 2008;87:474–5CrossRefGoogle Scholar
21Yazkan, R, Özpolat, B, Firat, H. Tracheocele; a case of rare clinical entity. Tuberk Toraks 2008;56:315–18Google ScholarPubMed
22Nielsen, K. A case of multiple tracheal diverticula. Acta Radiol 1948;29:331–4CrossRefGoogle ScholarPubMed
23Surprenant, E, O'Loughlin, B. Tracheal diverticula and tracheobronchomegaly. Dis Chest 1966;49:345–51CrossRefGoogle ScholarPubMed
24Infante, M, Mattavelli, F, Valente, M, Alloisio, M, Preda, F, Ravasi, G. Tracheal diverticulum: a rare cause and consequence of chronic cough: case report. Eur J Surg 1994;160:315–16Google Scholar
25Caversaccio, M, Becker, M, Zbären, P. Tracheal diverticulum presenting with recurrent laryngeal nerve paralysis. Ann Otol Rhinol Laryngol 1998;107:362–4CrossRefGoogle ScholarPubMed
26Davies, R. Difficult tracheal intubation secondary to a tracheal diverticulum and a 90 degree deviation in the trachea. Anaesthesia 2000;55:923–5CrossRefGoogle Scholar
27Ching, S, Chow, M, Ng, H. Difficult lung isolation in a patient with an undiagnosed tracheal diverticulum. J Cardiothorac Vasc Anesth 2003;17:355–6CrossRefGoogle Scholar
28Rahalkar, M, Lakhkar, D, Joshi, S, Gundawar, S. Tracheal diverticula-report of 2 cases. Indian J Radiol Imaging 2004;14:197–8Google Scholar
29Narimatsu, E, Yama, N, Danjoh, W, Kurimoto, Y, Asai, Y. A paratracheal cystic lesion in a patient with potential high-energy trauma. J Emerg Med 2005;28:333–5CrossRefGoogle Scholar
30Soto-Hurtado, E, Penuela-Ruiz, L, Rivera-Sánchez, I, Torres-Jimenez, J. Tracheal diverticulum: a review of the literature. Lung 2006;184:303–7CrossRefGoogle ScholarPubMed
31Ampollini, L, Bobbio, A, Carbognani, P, Rusca, M. Incidental radiological finding of tracheal diverticulum. Eur J Cardiothorac Surg 2007;31:545CrossRefGoogle ScholarPubMed
32Modrykamien, A, Abdallah, R, Kanne, J, Mehta, A. Multiple tracheal diverticuli in a cystic fibrosis patient. J Bronchol Intervent Pulm 2008;15:194–6Google Scholar
33Han, S, Dikmen, E, Aydin, S, Yapakci, O. Tracheal diverticulum: a rare cause of dysphagia. Eur J Cardiothorac Surg 2008;34:916–17CrossRefGoogle ScholarPubMed
34Kokkonouzis, I, Haramis, D, Kornezos, I, Moschouris, H, Katsenos, S, Bouchara, S. Tracheal diverticulum in an asymptomatic male: a case report. Cases J 2008;1:181CrossRefGoogle Scholar
35Morgan, J, Perone, R, Yeghiayan, P. Paratracheal air collection in a trauma patient: a case report. Clin Imaging 2009;33:67–9CrossRefGoogle Scholar
36Pinot, D, Breen, D, Peloni, J, Gaubert, J, Dutau, H, Vervloet, D. An incidental finding in a 34-year-old male under investigation for haemoptysis. Eur Respir J 2009;33:1227–9CrossRefGoogle Scholar
37Haghi, Z, Towhidi, M, Fattahi, H, Lari, S. Right paratracheal air cyst (tracheal diverticulum). Respir Care 2009;54:1409–11Google ScholarPubMed
38Sato, T, Sasaki, Y, Yamasaki, M, Aragaki, M, Mae, S, Irie, T et al. A right paratracheal air cyst caused by tracheal diverticula. Intern Med 2010;49:315–19CrossRefGoogle ScholarPubMed
39Peytz, F. Congenital tracheal diverticulum. Acta Otolaryngol (Stockh) 1964;58:81–6CrossRefGoogle ScholarPubMed
40Sharma, B. Tracheal diverticulum: a report of 4 cases. Ear Nose Throat J 2009;88:E11Google ScholarPubMed
41Oizumi, S, Ishida, T, Kamachi, M, Takahashi, T, Ogura, S, Munakata, M et al. Congenital bronchial diverticulum. J Bronchol Intervent Pulm 1999;6:101–3Google Scholar
42Morlock, H, Pinchin, S. Bronchial, diverticulosis. Lancet 1933;222:236–7CrossRefGoogle Scholar
43Goldman, L, Wilson, J. Tracheal, diverticulosis. Arch Otolaryngol Head Neck Surg 1957;65:554–7CrossRefGoogle Scholar
44Ettman, I, Keel, D Jr.. Tracheal, diverticulosis. Radiology 1962;78:187–91CrossRefGoogle Scholar
45Collins, M, Wight, R. Posterior tracheal wall diverticula – an unexpected finding. J Laryngol Otol 1997;111:663–5CrossRefGoogle ScholarPubMed
46Lazzarini de Oliveira, L, de Barros Franco, C, de Salles, C, de Oliveira, A. A 38-year-old man with tracheomegaly, tracheal diverticulosis, and bronchiectasis. Chest 2001;120:1018–20CrossRefGoogle ScholarPubMed
47Kim, Y, Kim, E, Kim, J, Park, C. Paratracheal air cysts: sonographic findings in two cases. Korean J Radiol 2003;4:136–9CrossRefGoogle ScholarPubMed
48Saito, W, Kobayashi, H, Motoyoshi, K. A case of tracheobronchial diverticula. J Bronchol Intervent Pulm 2003;10:48–50Google Scholar
49Levin, T, Weingart, L, Adam, H, Vicencio, A. Congenital HIV and tracheal diverticulosis. Am J Roentgenol 2004;183:1115–16CrossRefGoogle ScholarPubMed
50Hernández Pérez, J, Negrín, L, Batista Martín, J, Hernández, F. Intratracheal, diverticulum. J Bronchol Intervent Pulm 2005;12:104–5Google Scholar
51Boyden, EA. Developmental anomalies of the lungs. Am J Surg 1955;89:79–89CrossRefGoogle ScholarPubMed
52Dinner, M, Ward, R, Yun, E. Ventilation difficulty secondary to a tracheal diverticulum. Anesthesiology 1992;77:586–7CrossRefGoogle ScholarPubMed
53Polverosi, R, Carloni, A, Poletti, V. Tracheal and main bronchial diverticula: the role of CT. Radiol Med (Torino) 2008;113:181–9CrossRefGoogle ScholarPubMed
54Early, E, Bothwell, M. Congenital tracheal diverticulum. Otolaryngol Head Neck Surg 2002;127:119–21CrossRefGoogle ScholarPubMed
55Johnson, L, Cotton, R, Rutter, M. Management of symptomatic tracheal pouches. Int J Pediatr Otorhinolaryngol 2007;71:527–31CrossRefGoogle ScholarPubMed