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Báo cáo y học: " Bronchial obstruction secondary to idiopathic scoliosis in a child: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bronchial obstruction secondary to idiopathic scoliosis in a child: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Bronchial obstruction secondary to idiopathic scoliosis in a child a case report Saad Alotaibi James Harder and Sheldon Spier Address Alberta Children s Hospital University of Calgary AB Canada Email Saad Alotaibi - saalotai@hotmail.com James Harder - james.harder@calgaryhealthregion.ca Sheldon Spier - Sheldon.Spier@CalgaryHealthRegion.ca Corresponding author Published 22 May 2008 Received 12 June 2007 Journal of Medical Case Reports 2008 2 171 doi 10.1186 1752-1947-2-171 Accepted 22 May 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 171 2008 Alotaibi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 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. Introduction Scoliosis can be acquired or idiopathic. Acquired scoliosis has no definite curve pattern. .