Journal Information
Vol. 46. Issue 12.
Pages 728 (December 2022)
Vol. 46. Issue 12.
Pages 728 (December 2022)
Images in Intensive Medicine
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Tracheal rupture caused by mediastinal lymphoma: A case report
Rotura traqueal por linfoma mediastínico. A propósito de un caso
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V. Lorenzo Martína, M. Rodrigo Garzónb, L. Santana-Cabreraa,
Corresponding author
lsancabx@gobiernodecanarias.org

Corresponding author.
a Servicio de Neumología, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain
b Servicio de Medicina Intensiva, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain
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This is the case of a 26-year-old man with upper airway obstruction due to the presence of left anterior cervical mass caused by a diffuse large B-cell lymphoma. Chemotherapy and radiotherapy are started. However, due to the patient’s poor clinical course, a tracheostomy is performed. A new episode of airway obstruction occurs one week later as seen on the video-bronchoscopy (Fig. 1) with tracheal lumen infiltration (blue asterisk) due to mediastinal mass (red asterisk), prolapsed tracheal cartilage (yellow arrow), and a 5 cm fistula on the left wall. Both the distal trachea and the main carina appear normal. The CT scan performed (Fig. 2A) reveals the presence of a destructured trachea (yellow arrow) as in the 3D reconstruction (Fig. 2B).

Figure 1.

Video-bronchoscopy image.

(0.05MB).
Figure 2.

CT scan and 3D reconstruction image.

(0.13MB).
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None whatsoever.

Conflicts of interest

None reported.

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Medicina Intensiva (English Edition)
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