Document Detail


Subglottic ductal cysts associated with complete tracheal ring deformity: coexistence of two rare airway abnormalities with fatal outcome.
MedLine Citation:
PMID:  15022057     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Subglottic cysts are rare and may cause airway obstruction. Most cases are acquired secondary to endotracheal intubation, even short-term, particularly in the premature neonate. Complete tracheal rings are rare anomalies associated with tracheal stenosis. To our knowledge, the two have not been reported coexisting. A 16-month-old ex-premature boy was found unresponsive, with his tracheostomy tube dislodged. Tracheomalacia, subglottic stenosis, and a laryngeal cyst had been diagnosed shortly after birth, and the cyst was surgically treated at that time. At autopsy, a complete tracheal ring was noted in the subglottic region, above the tracheostomy site, and the tracheal diameter was markedly decreased in this area. In addition, multiloculated cysts were present at that level, arising from both anterolateral tracheal walls. These completely occluded the airway. To our knowledge, this is the first case of a combination of tracheal ring anomaly and subglottic cysts. Pediatric pathologists must be aware of iatrogenic lesions associated with care of the premature neonate, particularly as the age of viability continues to decrease.
Authors:
Aqiba Bokhari; Debra S Heller; Carlos Fonseca; Neena Mirani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-03-17
Journal Detail:
Title:  Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society     Volume:  7     ISSN:  1093-5266     ISO Abbreviation:  Pediatr. Dev. Pathol.     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-06-24     Completed Date:  2004-12-14     Revised Date:  2006-05-08    
Medline Journal Info:
Nlm Unique ID:  9809673     Medline TA:  Pediatr Dev Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  273-6     Citation Subset:  IM    
Affiliation:
Department of Pathology and Laboratory Medicine, UH/E158, UMDNJ-New Jersey Medical School, 185 South Orange Avenue, P.O. Box 1709, Newark, NJ 07103, USA.
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MeSH Terms
Descriptor/Qualifier:
Cysts / complications,  pathology*
Fatal Outcome
Glottis / pathology*
Humans
Infant
Laryngeal Diseases / complications,  pathology*
Male
Trachea / abnormalities*
Tracheal Stenosis / complications,  pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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