title: Pneumomediastinum due to tracheal foreign body granuloma.
abstract: Primary tracheal masses are rare. Secondary masses of the trachea are commonly foreign body granuloma, intubation granuloma or viral granuloma. The differential diagnoses given in such cases include both benign and malignant lesions. The otolaryngologist is often asked to perform a biopsy of the lesion to arrive at a diagnosis. However, even malignant processes can cause a granulomatous reaction. The timely diagnosis of tracheal masses depends upon maintaining a high index of suspicion. A rare case of tracheal granuloma leading to pneumomediastinum in a 53-year-old female is presented. The clinical features, investigations and treatment are detailed. The tracheal granuloma was managed by excision through bronchoscopy and the pneumomediastinum was managed conservatively.
authors.affiliation: Department of Otolaryngology--Head & Neck Surgery, Kasturba Medical College, Mangalore, Karnataka State, India. Kishorecprasad@yahoo.com
authors.forename: H Kishore Chandra
authors.initials: HK
authors.lastname: Prasad
authors.forename: Suja S
authors.initials: SS
authors.lastname: Sreedharan
authors.forename: Sydney
authors.initials: S
authors.lastname: D'Souza
authors.forename: Naveen
authors.initials: N
authors.lastname: Kumar
authors.forename: Sampath Chandra
authors.initials: SC
authors.lastname: Prasad
mesh_terms: D005260:Female; D015745:Granuloma, Foreign-Body / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014133:Tracheal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome