Medicine · 2025
Bridging silicone and metallic stents for tracheobronchial stenosis in relapsing polychondritis: A case report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Zhang Lingyun, Hu Zhigang, Li Wenxin, Li Yuqin, Yang Qiaoyu, Zhao Bijun, Zeng Fanjun, Lin Long, Song Xinyun
Аннотация
RATIONALE: Relapsing polychondritis is a rare autoimmune disease that commonly leads to tracheobronchial stenosis, presenting significant treatment challenges.
PATIENT CONCERNS: This case report describes a 64-year-old male with relapsing polychondritis who developed severe tracheobronchial stenosis.
DIAGNOSES: Computed tomography scanning revealed stenosis of the trachea and bronchi, while bronchoscopy confirmed occlusion or stenosis.
INTERVENTIONS: Initially, the patient presented with chest pain, fever, and dyspnea. After treatment with corticosteroids and immunosuppressants, fever and chest pain improved, though dyspnea persisted. A silicone stent was inserted, leading to a significant improvement in dyspnea. However, due to granulation tissue hyperplasia at the lower edge of the left main bronchus stent, a metallic stent was used to bridge with the silicone stent 4 years later.
OUTCOMES: The patient has been followed for 7 years with stable disease control.
LESSONS: For complex airway stenosis caused by relapsing polychondritis, combined placement of silicone stent and metal stent may be considered as a therapeutic option.
PATIENT CONCERNS: This case report describes a 64-year-old male with relapsing polychondritis who developed severe tracheobronchial stenosis.
DIAGNOSES: Computed tomography scanning revealed stenosis of the trachea and bronchi, while bronchoscopy confirmed occlusion or stenosis.
INTERVENTIONS: Initially, the patient presented with chest pain, fever, and dyspnea. After treatment with corticosteroids and immunosuppressants, fever and chest pain improved, though dyspnea persisted. A silicone stent was inserted, leading to a significant improvement in dyspnea. However, due to granulation tissue hyperplasia at the lower edge of the left main bronchus stent, a metallic stent was used to bridge with the silicone stent 4 years later.
OUTCOMES: The patient has been followed for 7 years with stable disease control.
LESSONS: For complex airway stenosis caused by relapsing polychondritis, combined placement of silicone stent and metal stent may be considered as a therapeutic option.