Anastomotic tuberculosis after carinal resection and reconstruction: A case report
10.7507/1007-4848.202107092
- VernacularTitle:气管隆突切除重建术后吻合口结核一例
- Author:
Qiao FAN
1
;
Chenglin GUO
1
;
Qiang PU
1
;
Jiandong MEI
1
Author Information
1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Carinal resection;
reconstruction;
tuberculosis;
granulation;
mucoepidermoid carcinoma;
case report
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(10):1255-1257
- CountryChina
- Language:Chinese
-
Abstract:
This patient was a 47-year female who underwent carinal resection and reconstruction because of left main bronchial mucoepidermoid carcinoma. She underwent four cycles chemotherapy when recovering from surgery because of subcarinal lymph node metastasis. However, the patient suffered from recurred productive cough and dyspnea during chemotherapy. Bronchoscopic assessment revealed stenosis at the reconstructed carina and left main bronchus five months after surgery. The granulation tissues of the left main bronchus showed no evidence of cancer recurrence. After repeated bronchoscopic resection of granulation tissue combined with bronchial stent placement, the left main bronchial stenosis gradually worsened with granulation tissue growth. Three acid-fast bacilli were found in the granulation tissue harvested ten months after surgery. The reason of postoperative bronchostenosis was confirmed as endobronchial tuberculosis, and antitubercular agents were added. Unfortunately, she had persistent left main bronchostenosis due to irreversible destruction and left pulmonary atelectasis thereafter. Therefore, for the recurring anastomotic granulomas after tracheobronchial reconstruction, the possibility of tuberculosis infection should be considered.
