{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:09Z","timestamp":1756276809212,"version":"3.44.0"},"reference-count":24,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,6]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Congenital tracheobronchomegaly, also known as Mounier-Kuhn syndrome (MKS), is an uncommon illness characterised by dilatation of the major bronchi and recurrent chest infections. Tracheobronchomegaly may also be accompanied by tracheal and bronchial diverticula. We report the case of a middle-aged woman with a complaint of uterine prolapse for which a hysterectomy is planned. The patient complained of recurrent cough with expectoration for the last 6 years; hence, a radiograph of the chest and CT of the thorax were advised. A radiograph of the chest and thoracic CT showed dilation and numerous diverticula of the trachea and bronchi that suggested MKS. Management of MKS in symptomatic patients is supportive but is only used to treat contagious exacerbations with antibiotics and respiratory exercise to clear secretions. Here is an attempt to reach out to the cause of uterine prolapse in this patient with MKS and correlating these two conditions.<\/jats:p>","DOI":"10.1136\/bcr-2025-265337","type":"journal-article","created":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T20:40:24Z","timestamp":1750624824000},"page":"e265337","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unveiling the uncommon: Mounier-Kuhn syndrome as a cause of uterine prolapse"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0463-062X","authenticated-orcid":false,"given":"Anand","family":"Hatgaonkar","sequence":"first","affiliation":[{"name":"Radiodiagnosis, Datta Meghe Medical College, Nagpur, MH, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7112-9969","authenticated-orcid":false,"given":"Kajal","family":"Hatgaonkar","sequence":"additional","affiliation":[{"name":"Pathology, Datta Meghe Medical College, Nagpur, MH, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhagyasri","family":"Nunna","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Sawangi, Wardha, MH, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,22]]},"reference":[{"key":"2025082623245446000_18.6.e265337.1","first-page":"101238","article-title":"Mounier-Kuhn syndrome: A variable course disease","volume":"31","author":"Loued","year":"2020","journal-title":"Respir Med Case Rep"},{"key":"2025082623245446000_18.6.e265337.2","doi-asserted-by":"crossref","DOI":"10.1183\/23120541.00138-2020","article-title":"Tracheobronchomegaly, cough and recurrent chest infection: Mounier-Kuhn syndrome","volume":"6","author":"Satia","year":"2020","journal-title":"ERJ Open Res"},{"key":"2025082623245446000_18.6.e265337.3","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.150.4.777"},{"key":"2025082623245446000_18.6.e265337.4","first-page":"6863711","article-title":"Pelvic Organ Prolapse in Ehlers-Danlos Syndrome","volume":"2023","author":"Nazemi","year":"2023","journal-title":"Case Rep Urol"},{"key":"2025082623245446000_18.6.e265337.5","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1097\/MCG.0000000000001173","article-title":"Prevalence of Functional GI Diseases and Pelvic Floor Symptoms in Marfan Syndrome and Ehlers-Danlos Syndrome: A National Cohort Study","volume":"53","author":"Nee","year":"2019","journal-title":"J Clin Gastroenterol"},{"key":"2025082623245446000_18.6.e265337.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70041-3"},{"key":"2025082623245446000_18.6.e265337.7","doi-asserted-by":"crossref","first-page":"20503121221126363","DOI":"10.1177\/20503121221126363","article-title":"Pelvic organ prolapse and associated factors among women admitted to gynecology ward at the Hiwot Fana Comprehensive Specialized Hospital, Harar, eastern Ethiopia","volume":"10","author":"Ali","year":"2022","journal-title":"SAGE Open Med"},{"key":"2025082623245446000_18.6.e265337.8","first-page":"85","article-title":"Pelvic organ prolapse in jimma university specialized hospital, southwest ethiopia","volume":"22","author":"Akmel","year":"2012","journal-title":"Ethiop J Health Sci"},{"key":"2025082623245446000_18.6.e265337.9","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.1007\/s00192-018-03859-9","article-title":"An epidemiologic study of pelvic organ prolapse in rural Chinese women: a population-based sample in China","volume":"30","author":"Li","year":"2019","journal-title":"Int Urogynecol J"},{"key":"2025082623245446000_18.6.e265337.10","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/S0733-8627(05)70215-7","article-title":"Pelvic organ prolapse","volume":"19","author":"Harrison","year":"2001","journal-title":"Emerg Med Clin North Am"},{"key":"2025082623245446000_18.6.e265337.11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12905-021-01173-z","article-title":"Clinical relevance of routine transvaginal ultrasound in women referred with pelvic organ prolapse","volume":"21","author":"Pedersen","year":"2021","journal-title":"BMC Womens Health"},{"key":"2025082623245446000_18.6.e265337.12","doi-asserted-by":"crossref","first-page":"8708251","DOI":"10.1155\/2016\/8708251","article-title":"Mounier-Kuhn Syndrome in an Elderly Female with Pulmonary Fibrosis","volume":"2016","author":"Boglou","year":"2016","journal-title":"Case Rep Med"},{"key":"2025082623245446000_18.6.e265337.13","first-page":"5049406","article-title":"Tracheobronchomegaly as a Cause of Bronchiectasis in an Adult","volume":"2016","author":"Govindaraj","year":"2016","journal-title":"Case Rep Pulmonol"},{"key":"2025082623245446000_18.6.e265337.14","doi-asserted-by":"crossref","first-page":"2546","DOI":"10.1016\/j.radcr.2021.06.021","article-title":"Mounier-Kuhn syndrome (Tracheobronchomegaly): Radiological diagnosis","volume":"16","author":"Rjimati","year":"2021","journal-title":"Radiol Case Rep"},{"key":"2025082623245446000_18.6.e265337.15","first-page":"674918","article-title":"Mounier-kuhn syndrome: anesthetic experience","volume":"2012","author":"Ushakumari","year":"2012","journal-title":"Case Rep Anesthesiol"},{"key":"2025082623245446000_18.6.e265337.16","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1093\/ejcts\/ezz317","article-title":"Tracheobronchoplasty after a trial with a silicone Y-stent in a patient with Mounier-Kuhn syndrome","volume":"57","author":"Mu\u00f1oz Fos","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025082623245446000_18.6.e265337.17","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1093\/qjmed\/hcad109","article-title":"Tracheobronchomegaly (Mounier-Kuhn syndrome): a case report","volume":"116","author":"Li","year":"2023","journal-title":"QJM"},{"key":"2025082623245446000_18.6.e265337.18","article-title":"Pelvic Organ Prolapse Quantification System (POP\u2013Q)\u2013a new era in pelvic prolapse staging","volume":"4","author":"Persu","year":"2011","journal-title":"J Med Life"},{"key":"2025082623245446000_18.6.e265337.19","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jacr.2014.10.021","article-title":"ACR Appropriateness Criteria pelvic floor dysfunction","volume":"12","author":"Pannu","year":"2015","journal-title":"J Am Coll Radiol"},{"key":"2025082623245446000_18.6.e265337.20","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1148\/radiographics.22.2.g02mr25295","article-title":"Practical MR imaging of female pelvic floor weakness","volume":"22","author":"Fielding","year":"2002","journal-title":"Radiographics"},{"key":"2025082623245446000_18.6.e265337.21","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.ejro.2019.05.002","article-title":"Dynamic MR of the pelvic floor: Influence of alternative methods to draw the pubococcygeal line (PCL) on the grading of pelvic floor descent","volume":"6","author":"Picchia","year":"2019","journal-title":"Eur J Radiol Open"},{"key":"2025082623245446000_18.6.e265337.22","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1007\/s00192-012-1772-5","article-title":"Dynamic magnetic resonance imaging to quantify pelvic organ prolapse: reliability of assessment and correlation with clinical findings and pelvic floor symptoms","volume":"23","author":"Lakeman","year":"2012","journal-title":"Int Urogynecol J"},{"key":"2025082623245446000_18.6.e265337.23","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1148\/rg.2018170055","article-title":"Translabial US and Dynamic MR Imaging of the Pelvic Floor: Normal Anatomy and Dysfunction","volume":"38","author":"Chami\u00e9","year":"2018","journal-title":"Radiographics"},{"key":"2025082623245446000_18.6.e265337.24","doi-asserted-by":"crossref","first-page":"223","DOI":"10.32677\/ijcr.v10i8.4475","article-title":"Management of multiple pelvic organ prolapse due to pulmonary tuberculosis in a suburban hospital: A case report","volume":"10","author":"Yurisqi Dian","year":"2024","journal-title":"Indian J Case Reports"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:25:08Z","timestamp":1756275908000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":24,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,22]]},"published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1136\/bcr-2025-265337"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265337","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}