Open AccessFocal Stenosis in Right Upper Lobe Bronchus in a Recurrently Wheezing Child Sequentially Studied by Multidetector‐row Spiral Computed Tomography and Scintigraphy
Author(s) -
Chen IChen,
Wu JiunnRen,
Lu ChiaYing,
Tseng ChienMing,
Hsu JongHau,
Dai ZenKong
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70575-3
Subject(s) - medicine , atelectasis , right main bronchus , radiology , stenosis , bronchus , scintigraphy , choking , lung , respiratory disease , anatomy
Lower respiratory tract infections associated with wheezing are not uncommon in infants and young children. Among the wheezing‐associated disorders, allergic etiologies are more commonly encountered than anatomic anomalies. We present a 3‐year‐old girl with a sudden attack of asthmatic symptoms including dyspnea, cyanosis and diffuse wheezing. Based on a history of choking, and atelectasis in the right upper lobe detected by chest films, flexible tracheobronchoscopy was arranged and incidentally detected a stenotic orifice in the right upper lobe bronchus. Multidetector‐row spiral computed tomography and pulmonary scintigraphy subsequently also disclosed the focal stenosis. She suffered from recurrent wheezing, pneumonia and lung atelectasis during 1 year of follow‐up. We emphasize the diagnosis, clinical course and management of focal stenosis in the right upper lobe bronchus.