Polypoidal trachea- A clinician’s predicament

A 44 year old asymptomatic female patient, with no known comorbidities was scheduled for donor kidney harvesting for her husband. During intubation, the anesthetist found multiple polypoidal lesions just below the vocal cords, studding the tracheal wall. A diagnosis of multiple tracheal papillomatosis was made, and the patient was referred to the Otorhinolaryngology department for further evaluation. Flexible bronchoscopic assessment revealed multiple submucosal calcified nodules distributed along the anterolateral tracheal wall, sparing the posterior membranous wall (Figure A).