The right apical tracheal bronchus with bronchial leiomyoma: A case report

RATIONALE: Tracheal bronchus is an aberrant bronchus that arises directly from the carina of the trachea. It was rare, with only 0.1% to 2% on the right and 0.3% to 1% on the left side of the lateral wall. Tracheal bronchus is usually asymptomatic and can be accidentally detected during bronchoscopy or computed tomography (CT). PATIENT CONCERNS: A 62-year-old woman presented with recurrent cough and sputum for more than 1 month. DIAGNOSIS: Bronchoscopy and three-dimensional-CT confirmed that the bronchial leiomyoma blocked the opening of the right apical segmental tracheal bronchus. INTERVENTIONS: After 2 bronchoscopy treatments, the patient still complained of. cough and sputum. Finally, the patient underwent thoracotomy for a right apical segmentectomy and tracheoplasty. OUTCOMES: The patient was safely discharged and no longer experienced cough. or sputum. LESSONS: Surgery can reliably remove bronchial leiomyomas. When crossing. the tracheal bronchus, it is important to be cautious about the pulmonary. In such situations, bronchoscopy and three-dimensional-CT are beneficial for surgery.