Pneumomediastinum as a manifestation of a bronchial carcinoid tumour: a very rare association of two uncommon diseases

Submitted: 9 May 2024
Accepted: 7 August 2024
Published: 26 August 2024
Abstract Views: 253
PDF: 126
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A 29-year-old man presented to the emergency department with haemoptysis and thoracic pain. His vital signs and blood tests were normal, except for increased C-reactive protein levels. Fibrolaryngoscopy and esophagogastroduodenoscopy results were negative. Computed Tomography of the chest revealed abundant pneumomediastinum, air dissection along the peribronchovascular sheaths of the left lower lobe and a vegetating lesion completely occluding the distal extremity of the left main bronchus. After complete bronchoscopic excision of the lesion, histological examination revealed a carcinoid tumour not otherwise specified. After hospital discharge, 18F-fluorodeoxyglucose and 68Ga-DOTANOC positron emission tomographies ruled out distant metastases. A sleeve resection of approximately 20 mm of the distal extremity of the left main bronchus and a circumferential anastomosis between the left main bronchus and ipsilateral lobar bronchi were performed. Several bronchoscopic follow-ups did not show anastomotic dehiscence or tumour relapse.

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How to Cite

Barakat, M., De Santis, C., Zafarana, G., Lotrecchiano, L., Galasso, T., Candoli, P., Solli, P., & Daddi, N. (2024). Pneumomediastinum as a manifestation of a bronchial carcinoid tumour: a very rare association of two uncommon diseases. Emergency Care Journal, 20(3). https://doi.org/10.4081/ecj.2024.12651