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Clinical Problem Solving: Radiology
July 2007

Radiology Quiz Case 1: Diagnosis

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2007;133(7):726. doi:10.1001/archotol.133.7.726

Tracheocele is rarely seen clinically; the prevalence in a reported autopsy series was approximately 1%. The condition was first described by Rokitansky in 1846.1 Tracheoceles have been associated with chronic cough, prior neck surgery, employment that involves excessive vocal or pulmonary efforts, and complication of tracheostomy.1-5 However, Grassi et al6 emphasize that a tracheocele being associated with pulmonary disease is much less common than a tracheocele being an incidental finding. Symptoms may include purulent secretions, neck pain, difficulty swallowing, hoarseness, and neck swelling that may enlarge with respiration.7

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