Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association

Abstract Tracheal bronchus (TB), also known as pig bronchus, is a rare tracheobronchial congenital anomaly that occurs when the right upper lobe bronchus originates from the trachea rather than the carina. It can be symptomatic with respiratory symptoms such as persistent cough, wheezing, stridor, r...

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Main Authors: Mohmmed A. Mohmmedahmed, Syed Essa Iraj, Hassan ALBahrani, Khalid Bait Jamil, Bashir A. Yousef, Omar Ibrahim
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:The Egyptian Journal of Bronchology
Subjects:
Online Access:https://doi.org/10.1186/s43168-025-00439-6
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author Mohmmed A. Mohmmedahmed
Syed Essa Iraj
Hassan ALBahrani
Khalid Bait Jamil
Bashir A. Yousef
Omar Ibrahim
author_facet Mohmmed A. Mohmmedahmed
Syed Essa Iraj
Hassan ALBahrani
Khalid Bait Jamil
Bashir A. Yousef
Omar Ibrahim
author_sort Mohmmed A. Mohmmedahmed
collection DOAJ
description Abstract Tracheal bronchus (TB), also known as pig bronchus, is a rare tracheobronchial congenital anomaly that occurs when the right upper lobe bronchus originates from the trachea rather than the carina. It can be symptomatic with respiratory symptoms such as persistent cough, wheezing, stridor, respiratory distress, and recurrent pneumonia, or it may be found incidentally during bronchoscopy or chest computed tomography (CT) in asymptomatic patients. The estimated prevalence is around 1–3% worldwide. We report a unique case of a 7-year-old girl with a TB who developed empyema, a previously undocumented association in pediatric literature. This report discusses the clinical presentation, management, and relevant literature, emphasizing the importance of considering TB although it is rare as a differential diagnosis of children with recurrent or persistent respiratory problems.
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series The Egyptian Journal of Bronchology
spelling doaj-art-d683bb719364407d82206c1b6cbb6bfd2025-08-20T03:45:48ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512025-07-011911410.1186/s43168-025-00439-6Tracheal bronchus and empyema in a pediatric patient: a rare and unreported associationMohmmed A. Mohmmedahmed0Syed Essa Iraj1Hassan ALBahrani2Khalid Bait Jamil3Bashir A. Yousef4Omar Ibrahim5Pediatric Intensive Care Unit, Pediatric Department, Medical City for Military and Security ServicesPediatric Intensive Care Unit, Pediatric Department, Medical City for Military and Security ServicesPediatric Intensive Care Unit, Pediatric Department, Medical City for Military and Security ServicesPediatric Intensive Care Unit, Pediatric Department, Medical City for Military and Security ServicesDepartment of Pharmacology, Faculty of Pharmacy, University of KhartoumPediatric Intensive Care Unit, Pediatric Department, Medical City for Military and Security ServicesAbstract Tracheal bronchus (TB), also known as pig bronchus, is a rare tracheobronchial congenital anomaly that occurs when the right upper lobe bronchus originates from the trachea rather than the carina. It can be symptomatic with respiratory symptoms such as persistent cough, wheezing, stridor, respiratory distress, and recurrent pneumonia, or it may be found incidentally during bronchoscopy or chest computed tomography (CT) in asymptomatic patients. The estimated prevalence is around 1–3% worldwide. We report a unique case of a 7-year-old girl with a TB who developed empyema, a previously undocumented association in pediatric literature. This report discusses the clinical presentation, management, and relevant literature, emphasizing the importance of considering TB although it is rare as a differential diagnosis of children with recurrent or persistent respiratory problems.https://doi.org/10.1186/s43168-025-00439-6Tracheal bronchusEmpyemaPediatricOman
spellingShingle Mohmmed A. Mohmmedahmed
Syed Essa Iraj
Hassan ALBahrani
Khalid Bait Jamil
Bashir A. Yousef
Omar Ibrahim
Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
The Egyptian Journal of Bronchology
Tracheal bronchus
Empyema
Pediatric
Oman
title Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
title_full Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
title_fullStr Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
title_full_unstemmed Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
title_short Tracheal bronchus and empyema in a pediatric patient: a rare and unreported association
title_sort tracheal bronchus and empyema in a pediatric patient a rare and unreported association
topic Tracheal bronchus
Empyema
Pediatric
Oman
url https://doi.org/10.1186/s43168-025-00439-6
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AT hassanalbahrani trachealbronchusandempyemainapediatricpatientarareandunreportedassociation
AT khalidbaitjamil trachealbronchusandempyemainapediatricpatientarareandunreportedassociation
AT bashirayousef trachealbronchusandempyemainapediatricpatientarareandunreportedassociation
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