a 45 years old female presented with a history of dry cough and stridor.., her bronchoscopy revealed large tracheal tumor obstructing most of its lumen.
Primary tracheal tumors are rare.
And most tumors in adult patients are malignant.
symptoms frequently do not arise until the tumor is large enough to obstruct at least 50 percent of the diameter of the lumen.
Hello everyone ..
Sorry for being so quiet for a while , we have experienced some recent challenges for the past few months but we're finally back ^^ .
And we couldn't let you miss this interesting case of a 36 year old libyan lady who suffered from recurrent Cough, wheeze and SOB since childhood & had multiple different diagnoses with no improvement in her symptoms ..
Her Bronchoscopy revealed one of the most rare conditions which is what is called Tracheobronchopathia osteochondroplastica
This benign entity is seen with a
frequency of 0.4 percent at bronchoscopy,
& characterized by osseous and cartilaginous submucosal nodules connected to tracheal cartilage sparing the posterior tracheal membranous wall.
The procedure was performed by our great mentor Dr. Mohammad Traina.
Here is one of our magical moments 💫 of Therapeutic Bronchoscopy shown in another " before and After " video of a 65 year old male patient with Rt. Lung collapse and mediastinal shifting .
A 25 year old young man from Niger was admitted in the last few days because of severe Anemia with H/O upper GIT bleeding.
His endoscopy revealed a large Duodenal Ulcer ( ant. Wall ) with visible vessel and a blood clot .
This is the endoscopy of a 50 year old libyan male who had a H/O upper GIT bleeding . Which revealed prepyloric ulcers with clean base .
Some endoscopies can never be forgotten , and this bronchoscopy that we've shared before is one of them ... , Showing a Post Intubation Tracheal Stenosis in a Pt. who presented with a new onset stridor , and had a prior H/O ICU admission and prolonged intubation for more than 2 weeks.
Here is another " Before and After " of a patient with a Right lung collapse 🫁 .
His Bronchoscopy revealed a mucous plug obstructing the Right main bronchus .
This video shows the upper endoscopy of a large hiatal hernia that was first noticed incidentally on a chest radiograph as a retrocardiac opacity with air inside .
Note :
(The xray is in the comments below )
This 64 year old man presented complaining of dysphagia to solids for almost 4 months , with H/O loss of weight and loss of appetite.
His upper endoscopy revealed multiple barret's mucosa with large tumoral mass completely obstructing the lower esophagus.
One of our most common procedures we do here in Misrata medical center is Therapeutic bronchoscopy which can be life saving for many patients especially those who are critically ill.
Therapeutic bronchoscopy is indicated in case of retained mucus secretions , plugs in the airway and foriegn body aspiration .
In this video we see the before and after of the lungs of one of our ICU patients with retained mucus secretions .
Today's video is a bout a 56 year old female whose a K/C of T2 DM .. presented e' hematemesis and melena
Her endoscopy showed a very bad Grade III Esophageal varieces with cherry rod spots.
These small multiple lesions were found in a young female patient presented with Microcytic hypochromic anemia .. share your thoughts with us regarding these lesions ?
