Túi thừa khí quản - nhân một trường hợp

Abstract

Tracheal diverticulum (DV) is a type of tracheal air cyst (PTAC) that is usually asymptomatic and is often discovered incidentally with imaging studies. Tracheal diverticulum is divided into two subtypes: congenital and acquired. The majority of patients with DV are asymptomatic. In the presence of diverticulitis, especially chronic, patients may present with neck pain, dysphagia, lacrimation, hoarseness, hemoptysis, choking, and recurrent episodes of hiccups and belching. Contrast-enhanced with multi-slice computed tomography (MDCT) is useful for diagnosing the diverticulum as well as its relationship to the surrounding blood vessels. The relationship between DV and tracheal lumen can be demonstrated by multidirectional rendering (MPR). Magnetic resonance imaging has the advantage in assessing the wall and mucosa of the Trachea and DV. Bronchoscopy may also be used for diagnosis. However, the relationship between DV and tracheal lumen cannot be easily shown by bronchoscopy. Conservative treatment is preferred in asymptomatic patients. Surgical treatment may be performed for symptomatic patients, depending on the patient's disease state, age, and physical condition. We report a case of symptomatic DV, diagnosed and operated at the National Lung Hospital with the desire to contribute to the literature of rare lung diseases, helping colleagues to have a better approach when meet a similar cases.