Bronchial obstruction secondary to idiopathic scoliosis in a child: A case report

被引：4
作者：
Alotaibi S. [1 ]
Harder J. [1 ]
Spier S. [1 ]
机构：
[1] Alberta Children's Hospital, University of Calgary, Calgary, AB
来源：
Journal of Medical Case Reports | / 2卷 / 1期
关键词：
Airway Obstruction; Adolescent Idiopathic Scoliosis; Idiopathic Scoliosis; Obstructive Lung Disease; Budesonide Nebulization;
D O I：
10.1186/1752-1947-2-171
中图分类号：
学科分类号：
摘要：
Introduction: Patients with severe idiopathic scoliosis are reported to have significant pulmonary complications, including recurrent chest infections, alveolar hypoventilation and respiratory failure. Case presentation: We report a case of a 13-year-old boy with moderate-to-severe scoliosis resulting in torsion or twisting of the bronchus intermedius, which contributed to airflow obstruction defects, as revealed by both spirometry and bronchoscopy. Conclusion: We recommend that inspection of the shape of the maximal expiratory flow-volume loop obtained from spirometry, as well as other parameters suggestive of obstructive lung disease, may be important in children with scoliosis. To the best of the authors' knowledge, this is the first report of a child in which pulmonary function testing and direct visualization via a flexible bronchoscope have been used to characterize intrathoracic large airway obstruction. © 2008 Alotaibi et al; licensee BioMed Central Ltd.
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