title: Obstructive inflammatory tracheal pseudomembrane.
abstract: Pathologies acquired after the establishment of an artificial airway include stenosis, granulomas and the formation of pseudomembranes, to name a few. The most common form of presentation in adults is circumferential stenosis, which often requires therapeutic endoscopic measures to achieve resolution. This Case Report describes the case of an obstructive inflammatory tracheal pseudomembrane in the shape of a tracheal septum secondary to repeated intubations that was resolved with conservative treatment. The clinical presentation of this entity generally includes the appearance of respiratory infection and/or atelectasis after the withdrawal of the orotracheal tube as a consequence of the accumulation of secretions between the tracheal wall and the pseudomembrane. Inflammatory pseudomembranes can resolve spontaneously with the help of glucocorticoids, although on occasion they require an invasive endotracheal procedure depending on the evolution.
authors: Servicio de Neumología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. acrespo@santpau.cat
authors: Astrid
authors: A
authors: Crespo-Lessmann
authors: Alfons
authors: A
authors: Torrego-Fernández
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001980:Bronchi / Q000378:metabolism; D003131:Combined Modality Therapy; D003371:Cough / Q000209:etiology; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000628:therapy; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007738:Kyphosis / Q000150:complications; D008775:Methylprednisolone / Q000627:therapeutic use; D009093:Mucus / Q000378:metabolism; D011241:Prednisone / Q000627:therapeutic use; D001261:Pulmonary Atelectasis / Q000209:etiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy; D012138:Respiratory Therapy; D012600:Scoliosis / Q000150:complications; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000293:injuries*; D014136:Tracheitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology
chemical_list: D000893:Anti-Inflammatory Agents; D011241:Prednisone; D008775:Methylprednisolone
keywords: Bronchoscopy; Broncoscopia; Intubación; Intubation; Pseudomembrana traqueal; Tracheal pseudomembrane