Demonstration of tracheal bronchus associated with tracheal stenosis using direct coronal computed tomography.
A 2-year-old boy presented with chronic wheezes and was refractory to medical treatment. A high carina with bilateral bronchial stenosis was erroneously diagnosed by bronchoscopic examination. Serial direct coronal computed tomographic scans showed a displaced right upper lobe tracheal bronchus associated with tracheal stenosis below the abnormal bronchus. A direct coronal computed tomographic scan of the tracheobronchial tree is a useful imaging technique for the delineation of airway configuration when the bronchoscope fails to pass beyond a stenotic region. A coronal computed tomographic scan may make invasive tracheobronchography unnecessary.
Wong
K S
KS
Department of Pediatrics, Chang Gung Children's Hospital and Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Wang
C R
CR
Hsieh
K H
KH
D001980:Bronchi / Q000002:abnormalities*; D001995:Bronchography; D002675:Child, Preschool; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014135:Tracheal Stenosis / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging