We report the case of a 5-year-old male child referred to our emergency department with severe respiratory distress symptoms. The child was suffered from respiratory infection symptoms over four months and misdiagnosed as pneumonia and admitted to the pediatric Department three times. In each time, the mother of the child confirmed that he had not inhaled any foreign body.
A computed tomography scan was performed to exclude a radiolucent foreign body inhalation. It showed a space-occupying lesion in the trachea 3.2cm above the bifurcation measuring 4x1.6cm with a pneumonic patch in the right lower lobe (Fig .1).
The patient referred to our cardiothoracic surgery department and prepared for urgent bronchoscopy. It revealed a soft tissue mass in the trachea with a subtotal obstruction just above the carina. The mass is a white colour, bleeds very easily, and obstruct nearly the whole width of the trachea with a very small opening that the air passed through it to the lungs. As a result of bleeding, a complete tracheal obstruction occurred, and the patient saturation was getting lower, then the patient was arrested for one minute. The bleeding was controlled, and a piece of tumor was excised for histopathological examination. The patient transferred to the ICU, and the steroid therapy was administered. The mass tissue sample was examined microscopically and revealed fibroblastic spindle cells arranged in a fascicular pattern with scattered inflammatory cells, no malignancy in the studied section (Fig .2). The tumor was excised bronchoscopically.