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Case Reports
. 2013 May;82(2):94-6.

Tracheal bronchus associated with recurrent pneumonia

Michael Schweigert  1 , Attila Dubecz, Dietmar Ofner, Hubert J Stein
Affiliations
Case Reports

Tracheal bronchus associated with recurrent pneumonia

Michael Schweigert et al. Ulster Med J. 2013 May.

Abstract

Abnormalities of the major airways are very uncommon congenital conditions which occur in approximately 2% of the adult population. Usually aberrant bronchi are asymptomatic and are only found by coincidence. We present the rare case of a 49-years-old woman with a tracheal bronchus causing associated with recurrent pneumonia of the right upper lobe.

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Figures

Figure 2.
Figure 2.
Bronchoscopy The bronchoscopic image (Fig 2a) shows the origin of the tracheal bronchus (TB) nearly at the bifurcation. The proximal right main bronchus (RMB) is also visible. A view into the tracheal bronchus is provided by figure 2b. The orifice seems to be partially narrowed.
Figure 1a:
Figure 1a:
Frontal CT image The tracheal bifurcation is visible in this frontal view of the computed tomography of the chest. The origin of the tracheal bronchus is visible virtually at the carina (TB). The regular right upper lobe bronchus (RUB) itself is not displaced. There are no further recognizable abnormalities of the airways.
Figure 1b:
Figure 1b:
Axial CT image This axial view is situated at the level of the tracheal bifurcation. The division of the distal trachea into the two main bronchi is already identifiable. The origin of the tracheal bronchus (TB) is shown.
Figure 1c:
Figure 1c:
Inflammatory lesions The frontal CT image shows numerous inflammatory lesions and parenchymal changes within the right apical upper lobe segment, which is marked by a red contour (arrow). The morphological alterations comprise tumorlike lesions, calcifications and bullae. The other parts of the lung show no signs of pathological transformation.
See this image and copyright information in PMC

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