A 48-year-old woman with a narrowed trachea

Article Abstract:

A 48-year-old woman was diagnosed with tracheopathia osteoplastic, also called saber-sheath trachea. The patient was admitted to the hospital with progressive shortness of breath, choking episodes and difficulty in coughing up airway secretions. She had a 20-year history of shortness of breath during exercise, which worsened during the 10 years before admission to the hospital. During heart surgery five-and-a-half months before admission, surgeons had trouble inserting a chest tube. A chest X-ray and a computed tomographic (CT) scan at the time of admission revealed narrowing of her trachea. The CT scan also revealed enlargement of the right lobe of the thyroid gland. She had nodules in her trachea and the shape of her trachea was distorted. Examination of her trachea using a bronchoscope revealed that she was suffering from tracheopathia osteoplastica.

Trachea, Tracheal stenosis

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A 77-year-old man with hemoptysis and cardiovascular disease

Article Abstract:

A 77-year-old man was admitted to a hospital when he became faint and began coughing up blood. He had a history of adult-onset diabetes, hypertension, coronary artery disease and congestive heart failure. About three weeks before admission, he had had surgery to repair an aortic aneurysm in his back. This occurs when the aorta begins to balloon out, which weakens it and makes is susceptible to rupture. Fiberoptic bronchoscopy revealed blood in his lungs. A CT scan of his chest showed features associated with a ruptured, or dissecting, aortic aneurysm. He was too ill for surgery and died a few hours later.

Diagnosis, Dissecting aneurysm, Aortic dissection, Aortic aneurysms, Aortic aneurysm

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A 40-year-old woman with intermittent hemoptysis and mucosal ulceration found on bronchoscopic examination

Article Abstract:

A 40-year-old woman was admitted to a hospital because of a cough that was occasionally accompanied by blood. A previous examination had found narrowing of her trachea. Examination of a biopsy specimen of her tracheal tissue showed ulceration and inflammation. A CT scan showed irregularities in both bronchi, the muscular tubes extending from the trachea to the lungs. A bronchial biopsy confirmed the diagnosis of Wegener's granulomatosis of the trachea. She was treated with prednisone and cyclophosphamide.

Case studies, Respiratory tract diseases, Wegener's granulomatosis

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