Presentation
This patient had a general anesthetic for Cesarean section but pulled at her endotracheal tube while regaining consciousness. She developed recurrent stridor and cough about a week later.
Patient Data
Irregular soft tissue projection from the right postero-lateral mid trachea at T1 with luminal narrowing of about 30%. Normal cartilage.
The rest of the trachea and larynx are normal.
Case Discussion
The CT scan demonstrates a tracheal web of the acquired type which generally occurs following prolonged or traumatic intubation1.
Congenital webs commonly present in children.
The patient was managed conservatively as she had no significant breathing difficulty. About 5 weeks later most of her symptoms had resolved apart from persistent mildly increased noise while breathing.
Contributing colleagues:
Dr Joseph Onuh. Consultant Radiologist, Department of Radiology, National Hospital, Abuja, Nigeria.
Dr Ujunwa Achusi. Senior Registrar, Department of Radiology, National Hospital, Abuja, Nigeria.
Dr John Emenike. Senior Registrar, Department of Radiation Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria
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