A 25-year-old female with...

The patient was a 25-year-old female with complaints of shortness of breath since 3 days before admission. Previously, the patient had a cough for 1 year, and complaints of shortness of breath appeared 1 month before admission. The patient was previously diagnosed with a new case of pulmonary tuberculosis resistant to isoniazid on OAT advanced phase (26/2/22) with the results of the examination when entering the hospital in the form of BTA negative and GenExpert not found M.Tuberculosis germs. The patient had been treated at two hospitals, but there was no improvement, so the patient went to the current hospital. In the previous hospital, the patient underwent a bronchoscopy examination (11/5/22), resulting in total obstruction of the left main bronchus ostium. There was granulation tissue covering the blocked left main bronchus lumen. The patient was diagnosed with left main bronchus stenosis and a new case of pulmonary TB (TB stenosis). During treatment, the patient received balloon bronchoplasty and cryotherapy (10/6/22) with the results of almost total stenosis of the lumen of the left main bronchus and post-action estuary lumen open 30-40% and complaints of shortness of breath felt reduced. The patient then underwent evaluation bronchoscopy (20/7/22) with results on the right bronchus appearing RB 1-10 open, reddish mucosa with mucosal webbing in almost all bronchial branches and on the left bronchus appearing 75% open stenosis compared to before the previous balloon bronchoplasty action. Cryodevitalization was performed for 8x, then continued with balloon bronchoplasty, which was developed in stages. The patient underwent bronchoscopy again (4/11/22) because the results of the last evaluation of the impression of atelectasis still existed à bronchoscopy results of tracheal stenosis 25%, left bronchus stenosis (80-90%). Subsequently, cryodevitalization and balloon bronchoplasty were performed. After the procedure, the patient felt more comfortable breathing than before.