Journal article
Combined Endoscopic Laser and Cryotherapy Management of Pediatric Central Airway Obstruction Secondary to a Histoplasmosis-Related Broncholith
Curēus (Palo Alto, CA), Vol.15(9), e45492
09/18/2023
DOI: 10.7759/cureus.45492
PMCID: PMC10584378
PMID: 37859920
Abstract
Broncholithiasis due to pulmonary histoplasmosis causing central airway obstruction and broncho-mediastinal fistula is a rare complication in the pediatric population. A 16-year-old previously healthy female was referred to a university hospital for worsening cough and shortness of breath for over a two-year period. Radiologic investigation revealed a calcified subcarinal lymph node eroding into the left mainstem bronchus causing central airway obstruction and collapse of the left lower lobe. Direct laryngoscopy and bronchoscopy showed a large obstructive lesion in the left mainstem bronchus. Debulking of the endobronchial lesion was performed with neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and cryotherapy. Pathology examination was consistent with broncholith. Great clinical and radiological response to the procedure was evident with complete re-expansion of the left lung and resolution of symptoms.
Details
- Title: Subtitle
- Combined Endoscopic Laser and Cryotherapy Management of Pediatric Central Airway Obstruction Secondary to a Histoplasmosis-Related Broncholith
- Creators
- Abigail E MooreMalak J GazzazRolando SanchezSohit P Kanotra
- Resource Type
- Journal article
- Publication Details
- Curēus (Palo Alto, CA), Vol.15(9), e45492
- DOI
- 10.7759/cureus.45492
- PMID
- 37859920
- PMCID
- PMC10584378
- NLM abbreviation
- Cureus
- ISSN
- 2168-8184
- eISSN
- 2168-8184
- Language
- English
- Date published
- 09/18/2023
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Internal Medicine
- Record Identifier
- 9984466777302771
Metrics
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