Current Thoracic Surgery
2020 , Vol 5 , Issue 2
A case report of congenital bronchial diverticulum and bronchogenic cyst presenting with a whistle
1Department of Thoracic Surgery, Konya Training and Research Hospital, Health Sciences University, Konya, Turkey
DOI :
10.26663/cts.2020.00019
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Congenital diverticula of the left main bronchus are extremely rare in the adult. Bronchial diverticula could
act as a reservoir for bronchial secretions and theoretically predispose to repeated respiratory infections.
We reported a diverticulum originating from the left main bronchus with recurrent bronchopneumonia
and whistling since 15 years of age. Additionally, our case had a paraaortic mediastinal bronchogenic
cyst. Physical examination demonstrated whistling in the expiratory phase, which appeared when he
was lying on his back or his left side. Flexible bronchoscopy showed a round-shaped lumen of the
left main bronchus and bubbling from slits or indentations of the bronchial mucosa in the left main
bronchus. Because our patient complained of whistling and history of recurrent bronchopneumonia
infection due to bronchial diverticulum, he was operated. To the best of our knowledge, there has
been no case of congenital bronchial diverticula localized in the left main bronchus associated with a
paraaortic mediastinal bronchogenic cyst in the medical literature.
Keywords :
bronchial diverticula, bronchogenic cyst, whistling