Tracheal Nodular Fasciitis Presenting with Stridor: A Rare Case Report

TL;DR

A rare case of tracheal nodular fasciitis in a 2-year-old girl caused severe breathing issues and was successfully treated with surgery.

Contribution

This case report highlights the rare occurrence of tracheal nodular fasciitis in a pediatric patient.

Findings

Tracheal nodular fasciitis is a rare condition in children.

Histopathology confirmed the diagnosis of a benign myofibroblastic lesion.

Emergency surgery resolved critical airway obstruction.

Abstract

Nodular fasciitis (NF) is a benign, rapidly growing, non-neoplastic myofibroblastic lesion of the subcutaneous tissue affecting various anatomical sites throughout the body. NF of the trachea is rare, and its occurrence in the pediatric age group is highly uncommon in clinical practice.

2-year-old female child who presented to the emergency department with severe stridor causing critical airway obstruction. The mass was successfully excised via an emergent surgical procedure, and the definitive diagnosis of nodular fasciitis was established through histopathology examination, which revealed proliferation of spindle-shaped myofibroblasts in a myxoid stroma without features of malignancy.

Early resuscitation is essential to save the patient's life, and histopathology confirms the diagnosis.

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