A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy
ABSTRACT Bronchial diverticulum (BD) is a rare airway abnormality that rarely enlarges significantly or becomes infected. We report a case of an 80‐year‐old male with a 15‐year history of asymptomatic BD that gradually increased in size and eventually developed into an abscess. Chest computed tomogr...
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| Format: | Article |
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Wiley
2025-06-01
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| Series: | Respirology Case Reports |
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| Online Access: | https://doi.org/10.1002/rcr2.70251 |
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| author | Hikaru Aoki Masaki Aikawa Yoshitomo Kushima Jiro Watanabe Toshiyuki Shima Yoju Kameyama |
| author_facet | Hikaru Aoki Masaki Aikawa Yoshitomo Kushima Jiro Watanabe Toshiyuki Shima Yoju Kameyama |
| author_sort | Hikaru Aoki |
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| description | ABSTRACT Bronchial diverticulum (BD) is a rare airway abnormality that rarely enlarges significantly or becomes infected. We report a case of an 80‐year‐old male with a 15‐year history of asymptomatic BD that gradually increased in size and eventually developed into an abscess. Chest computed tomography revealed a cystic lesion adjacent to the left main bronchus with internal fluid and surrounding inflammation. Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) enabled safe aspiration and identification of alpha‐hemolytic Streptococcus despite the absence of a visible bronchial opening. The infection was successfully managed with antibiotics alone, thereby avoiding surgical intervention. This case highlights the potential for long‐term asymptomatic BD to develop infection and demonstrates the diagnostic utility of EBUS‐TBNA for lesions adjacent to vital structures. However, further studies are needed to clarify infection risk factors and optimal management strategies for BD. |
| format | Article |
| id | doaj-art-5253fb64579d42fd8d07a5eeed4427a3 |
| institution | Kabale University |
| issn | 2051-3380 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj-art-5253fb64579d42fd8d07a5eeed4427a32025-08-20T03:29:57ZengWileyRespirology Case Reports2051-33802025-06-01136n/an/a10.1002/rcr2.70251A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic TherapyHikaru Aoki0Masaki Aikawa1Yoshitomo Kushima2Jiro Watanabe3Toshiyuki Shima4Yoju Kameyama5Department of Thoracic Surgery Ashikaga Red Cross Hospital Ashikaga JapanDepartment of Medicine Ashikaga Red Cross Hospital Ashikaga JapanDepartment of Medicine Ashikaga Red Cross Hospital Ashikaga JapanDepartment of Medicine Ashikaga Red Cross Hospital Ashikaga JapanDepartment of Thoracic Surgery Ashikaga Red Cross Hospital Ashikaga JapanDepartment of Medicine Ashikaga Red Cross Hospital Ashikaga JapanABSTRACT Bronchial diverticulum (BD) is a rare airway abnormality that rarely enlarges significantly or becomes infected. We report a case of an 80‐year‐old male with a 15‐year history of asymptomatic BD that gradually increased in size and eventually developed into an abscess. Chest computed tomography revealed a cystic lesion adjacent to the left main bronchus with internal fluid and surrounding inflammation. Endobronchial ultrasound‐guided transbronchial needle aspiration (EBUS‐TBNA) enabled safe aspiration and identification of alpha‐hemolytic Streptococcus despite the absence of a visible bronchial opening. The infection was successfully managed with antibiotics alone, thereby avoiding surgical intervention. This case highlights the potential for long‐term asymptomatic BD to develop infection and demonstrates the diagnostic utility of EBUS‐TBNA for lesions adjacent to vital structures. However, further studies are needed to clarify infection risk factors and optimal management strategies for BD.https://doi.org/10.1002/rcr2.70251airway infectionbronchial diverticulumcystic airway lesionendobronchial ultrasound‐guided transbronchial needle aspirationtracheal diverticulum |
| spellingShingle | Hikaru Aoki Masaki Aikawa Yoshitomo Kushima Jiro Watanabe Toshiyuki Shima Yoju Kameyama A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy Respirology Case Reports airway infection bronchial diverticulum cystic airway lesion endobronchial ultrasound‐guided transbronchial needle aspiration tracheal diverticulum |
| title | A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy |
| title_full | A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy |
| title_fullStr | A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy |
| title_full_unstemmed | A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy |
| title_short | A Case of Bronchial Diverticulum With Progressive Enlargement and Abscess Formation Successfully Managed by Endobronchial Ultrasound‐Guided Transbronchial Needle Aspiration and Antibiotic Therapy |
| title_sort | case of bronchial diverticulum with progressive enlargement and abscess formation successfully managed by endobronchial ultrasound guided transbronchial needle aspiration and antibiotic therapy |
| topic | airway infection bronchial diverticulum cystic airway lesion endobronchial ultrasound‐guided transbronchial needle aspiration tracheal diverticulum |
| url | https://doi.org/10.1002/rcr2.70251 |
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