Tuberc Respir Dis.  2006 Apr;60(4):469-472. 10.4046/trd.2006.60.4.469.

A Case of Tracheal Diverticula in a Hemoptysis Patient with Tuberculosis Sequela and Fungus Ball

• Kim JW
• Song SW
• Choi SO
• Jie BS
• Kwan SS
• Kim YK
• Kim KH
• Moon HS
• Song JS
• Park SH

• KMID: 1719372
• DOI: http://doi.org/10.4046/trd.2006.60.4.469

Abstract

We experienced a rare case of trachea diverticula combined with the sequela of tuberculosis and a fungus ball. The patient had complained of coughing and hemoptysis for a long time after experiencing tuberculosis. He was admitted due to hemoptysis and the aggravation of coughing. The CT scan showed a variable sized trachea diverticula combined with tuberculosis sequela and a fungus ball in the right lung fields. The diagnosis was made by bronchoscopy and a CT scan. After bronchial artery embolization and conservative treatment, the patient's symptoms improved and the patient was discharged.

Keyword

Trachea diverticulum; Fungus ball

MeSH Terms

Bronchial Arteries
Bronchoscopy
Cough
Diagnosis
Diverticulum*
Fungi*
Hemoptysis*
Humans
Lung
Tomography, X-Ray Computed
Trachea
Tuberculosis*

Figure

• 

  Figure 1 Chest radiograph shows large consolidation with air-fluid level in the right lower lobe. Fibroatelectatic tuberculous scar with traction bronchiectasis and bullae in right upper lobe. Right upper pleural thickening and decreased volume of the right upper lobe with right side tracheal deviation are noted. Both lungs are emphysematous.

• 

  Figure 2 Chest CT scan shows a right side tracheal diverticulum. Right upper pleural thickening with right side mediastinal shifting is noted.

• 

  Figure 3A 3-dimensional bronchus CT scan shows multiple diverticula arising from the right side wall of the lower trachea.

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  Figure 3B 3-dimensional bronchus CT scan after subtraction of lung lobe.

• 

  Figure 4 Bronchoscopic image shows two lumens at the right posterior wall of trachea.

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