关键词: Bronchi Diagnostic imaging Multidetector computed tomography Pulmonary artery abnormalities Tracheal abnormalities

来  源:   DOI:10.1016/j.radcr.2023.12.061   PDF(Pubmed)

Abstract:
We present the case of a 14-year-old adolescent boy with a history of poorly controlled asthma and a final diagnosis of a bridge bronchus associated with sling of the left pulmonary artery. Regarding the case report, we describe the characteristic findings in computerized tomography multidetector of the thorax, its classification, and the most relevant information about this malformation. Congenital malformations of the tracheobronchial tree may occur in the context of asymptomatic or symptomatic respiratory patients. These malformations may be associated with other vascular, tracheal, and syndromes with multiorgan involvement. Although most patients are asymptomatic, some of them will have nonspecific symptoms without a clear etiology or will be diagnosed incidentally during the diagnostic evaluation of other pathologies. It is important to know and recognize the normal anatomy and its variations, since radiology undoubtedly plays a fundamental role in the diagnosis and preoperative assessment of these malformations, which although they have low incidence, must be identified in a timely manner by the specialist in diagnostic images.
摘要:
我们介绍了一个14岁的青春期男孩,其哮喘控制不佳,最终诊断为与左肺动脉吊带相关的桥支气管。关于案件报告,我们描述了胸部计算机断层扫描多探测器的特征发现,其分类,以及这个畸形的相关信息.在无症状或有症状的呼吸道患者的情况下,可能会发生气管支气管树的先天性畸形。这些畸形可能与其他血管有关,气管,和多器官受累综合征。尽管大多数患者无症状,他们中的一些会有非特异性症状,但没有明确的病因,或者会在其他病理的诊断评估中被偶然诊断出来。重要的是要了解和认识正常的解剖结构及其变化,由于放射学无疑在这些畸形的诊断和术前评估中起着至关重要的作用,尽管它们的发病率很低,必须由专家及时识别诊断图像。
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