
Recurrent tracheal tumor with a critical airway requiring ‘Y’ stent – unique presentation of tuberculosis
Author(s) -
Venugopal Jaganathan,
Santhakumar Subramanian,
Deepak T Hari
Publication year - 2021
Publication title -
monaldi archives for chest disease. pulmonary series/monaldi archives for chest disease/monaldi archives for chest disease. cardiac series
Language(s) - English
Resource type - Journals
eISSN - 2465-101X
pISSN - 1122-0643
DOI - 10.4081/monaldi.2021.1578
Subject(s) - medicine , differential diagnosis , tuberculosis , airway obstruction , airway , rare disease , mediastinal tumor , bronchoscopy , debulking , mediastinal lymphadenopathy , surgery , radiology , mediastinum , disease , pathology , cancer , biopsy , ovarian cancer
Tracheal tumor is a rare entity. Tracheal tumor may be a primary tracheal tumor or secondary to invasion from a mediastinal tumor (or a lymph node). These tumors are prone to cause critical airway obstruction which may require urgent care. Tuberculosis is one of the common differential diagnoses of mediastinal lymphadenopathy in TB endemic countries, though isolated tuberculous mediastinal lymphadenopathy without a lung involvement is rare. We report an extremely rare case of isolated paratracheal lymphadenitis due to tuberculosis, eroding the trachea and presented a lower tracheal tumor, which recurred again after complete debulking. Finally, the disease required a ‘Y’ stent placement, to stabilize the airway following the second recanalization. We discuss the incidence, differential diagnosis, and the bronchoscopic, interventional aspects of this entity.