Malignant Extra Renal Rhabdoid Tumour Presenting as Central Airway Obstruction

Rhabdoid tumours are one of the most aggressive childhood neoplasms associated with high mortality. The commonest age group affected is children less than five years of age. Rhabdoid tumour presenting as an endoluminal tracheal mass leading to central airway obstruction has not been previously reported. We describe the case of a 17-year-old male patient where malignant rhabdoid tumour masqueraded as bronchial asthma leading to a delayed diagnosis of upper airway obstruction by tracheal growth. Histopathological examination and immunohistochemistry confirmed the diagnosis of malignant rhabdoid tumour.

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Airway management in vascular central airway obstruction: a literature review

10.22514/sv.2021.131 ◽

2021 ◽

Keyword(s):

Literature Review ◽

Airway Management ◽

Airway Obstruction ◽

Preoperative Planning ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Surgical Reconstruction ◽

Central Airway Obstruction ◽

Central Airway

Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.

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Successful Flexible Bronchoscopic Management of Dynamic Central Airway Obstruction by a Large Tracheal Carcinoid Tumor

Case Reports in Pulmonology ◽

10.1155/2014/349707 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Vijay Hadda ◽

Karan Madan ◽

Anant Mohan ◽

Umasankar Kalai ◽

Randeep Guleria

Keyword(s):

Airway Obstruction ◽

Histopathological Examination ◽

Rare Occurrence ◽

Tracheal Lumen ◽

Flexible Bronchoscope ◽

Who Grade ◽

Typical Carcinoid ◽

Central Airway Obstruction ◽

Polypoidal Growth ◽

Central Airway

Typical carcinoid of the trachea presenting as an endoluminal polypoidal mass is a rare occurrence. Herein, we report a case of a 34-year-old female patient who presented with features of central airway obstruction. Flexible bronchoscopy demonstrated a large pedunculated growth arising from the lower end of the trachea near carina which was flopping in and out of the main tracheal lumen and the proximal right bronchus leading to dynamic airway obstruction. Successful electrosurgical excision (using a snare loop) of the polypoidal growth was performed using the flexible bronchoscope itself. The patient had immediate relief of airway obstruction and histopathological examination of the polyp demonstrated features of typical carcinoid (WHO Grade I neuroendocrine tumor).

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Inhalational Induction with Sevoflurane in an Adult with Severe Complex Central Airways Obstruction

Anaesthesia and Intensive Care ◽

10.1177/0310057x9702500621 ◽

1997 ◽

Vol 25 (6) ◽

pp. 704-706 ◽

Cited By ~ 11

Author(s):

M. P. R. Watters ◽

J. M. Mckenzie

Keyword(s):

Heart Disease ◽

Airway Obstruction ◽

Ischaemic Heart Disease ◽

Anaesthetic Agent ◽

Upper Airway ◽

Central Airway Obstruction ◽

Inhalational Induction ◽

Volatile Anaesthetic Agent ◽

Induction Of Anaesthesia ◽

Central Airway

Sevoflurane is a newly available volatile anaesthetic agent which is suitable for inhalational induction of anaesthesia. Due to concerns about obstructing the upper airway as anaesthesia deepens, its use has until now been avoided in patients with upper airway obstruction. We used its smooth induction and recovery properties however to anaesthetize a patient with central airway obstruction and coexistent ischaemic heart disease. Sevoflurane proved to be a very satisfactory agent in this situation.

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