A Case of Tracheomegaly and Recurrent Pneumomediastinum Combined with Pulmonary Fibrosis.

Jeon, Seong Ran; Uh, Soo Taek; Kim, Ki Up; Lee, Young Mok; Kim, Yang Ki; Jung, Eun Jung; Kim, Ji Yon; Park, Eui Ju

doi:2008.64.2.144

Tuberc Respir Dis > Volume 64(2); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;64(2):144-148.
DOI: https://doi.org/10.4046/trd.2008.64.2.144 Published online February 1, 2008.

A Case of Tracheomegaly and Recurrent Pneumomediastinum Combined with Pulmonary Fibrosis.

Seong Ran Jeon, Soo Taek Uh, Ki Up Kim, Young Mok Lee, Yang Ki Kim, Eun Jung Jung, Ji Yon Kim, Eui Ju Park

Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea. uhs@hosp.sch.ac.kr

Abstract

Tracheomegaly is a distinctive condition that presents with marked dilation of the trachea. Spontaneous pneumomediastinum is the result of alveolar rupture with dissection of the airway along the bronchus and into the mediastinum. Tracheomegaly and recurrent spontaneous pneumomediastinum are rare complications of pulmonary fibrosis when combined with rheumatoid arthritis. We present a case of tracheomegaly and recurrent spontaneous pneumomediastinum that was precipitated by repeated respiratory infection and chronic cough in a patient with pulmonary fibrosis that was associated with rheumatoid arthritis.

Key Words: Tracheomegaly, Recurrent pneumomediastinum, Pulmonary fibrosis