• Yu Zhang and Haitao Ma.
• Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
• Medicine (Baltimore). 2022 Apr 15; 101 (15): e29181e29181.

RationaleTracheal 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 ConcernsA 62-year-old woman presented with recurrent cough and sputum for more than 1 month.DiagnosisBronchoscopy and three-dimensional-CT confirmed that the bronchial leiomyoma blocked the opening of the right apical segmental tracheal bronchus.InterventionsAfter 2 bronchoscopy treatments, the patient still complained of. cough and sputum. Finally, the patient underwent thoracotomy for a right apical segmentectomy and tracheoplasty.OutcomesThe patient was safely discharged and no longer experienced cough. or sputum.LessonsSurgery 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.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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