Atelectasis due to bronchial compression by the vertebral column.
The authors report the case of an 18-year-old woman with a multicore-minicore syndrome in acute respiratory distress. Initially, she was treated as having pneumonia, without a complete clinical response. Further investigation showed right lower lobe atelectasis associated with an extrinsic compression of the right mainstem bronchus secondary to thoracic lordoscoliosis. Therapeutic interventions involved respiratory therapy, noninvasive ventilation, cephalic traction, and orthopedic surgery, leading to clinical and functional improvement.
Borges
Marcos
M
Department of Internal Medicine, Medical School of Ribeirão Preto, Ribeirão Preto, Brazil.
Martinez
José A B
JA
Delfino
Helton L A
HL
Filho
João Terra
JT
D000293:Adolescent; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000503:physiopathology / Q000628:therapy; D001261:Pulmonary Atelectasis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D012131:Respiratory Insufficiency; D012600:Scoliosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013577:Syndrome; D013904:Thoracic Vertebrae / Q000002:abnormalities / Q000473:pathology* / Q000601:surgery