Abstract：
Rhinosporidiosis is a chronic mucocutaneous granulomatous disease caused by Rhinosporidium seeberi, commonly affecting the nose and nasopharynx. Endobronchial involvement is of rare occurrence but can pose challenging problems for diagnosis, surgical excision and anaesthetic management. We report a 40-year-old man with a history of recurrent nasal rhinosporidiosis who presented with unilateral nasal obstruction, cough, shortness of breath and a radiological feature of left lung collapse. Eight years since the last surgery, he presented with a recurrent lesion in the nose with concurrent endobronchial involvement. The patient underwent excision of the nasal and the endobronchial lesion successfully under general anaesthesia without any complication and good symptomatic improvement. The clinical presentation and the management of endobronchial rhinosporidiosis are discussed here. The surgical difficulties faced during the procedure are highlighted.
摘要：
鼻孢子虫病是一种慢性皮肤粘膜肉芽肿疾病，由沙棘，通常影响鼻子和鼻咽。支气管内受累很少发生，但可能会给诊断带来挑战性的问题，手术切除和麻醉管理。我们报告了一名40岁的男性，有复发性鼻鼻孢子虫病的病史，他表现为单侧鼻塞，咳嗽,呼吸急促和左肺塌陷的放射学特征。上次手术八年后，他表现为鼻子复发性病变，并伴有支气管内受累。患者在全身麻醉下成功切除了鼻腔和支气管内病变，没有任何并发症，症状改善良好。本文讨论了支气管内鼻孢子虫病的临床表现和治疗。强调了手术期间面临的手术困难。
