Abstract
BackgroundWheezing is a common symptom in infants and toddlers. Usually it occurs due to viral infection of the lower airways and no further diagnostic procedures are necessary. However in rare cases, other reasons such as anatomical malformation have to be considered.Case presentationWe report about an infant with recurrent episodes of wheezy bronchitis, which persisted despite adequate therapy. Bronchoscopy and computed tomography of the lung with three-dimensional reconstruction revealed a rare bronchial branching anomaly - the so called “bridging bronchus”. In contrast to previous case reports, this infant showed no additional malformations, which seems to be important for the prognosis.ConclusionTo the best of our knowledge this is the first report about a patient with a bridging bronchus in its “original form” without associated anomalies of the trachea-bronchial system or other organs.
Highlights
Wheezing is a common symptom in infants and toddlers with at least one episode in 45% and recurrent episodes in 20% of them respectively during their first 12–15 months of life [1]
The bridging bronchus is a very rare anomaly, which was originally reported by Gonzalez-Crussi et al in 1976 [4]
The most common type is described in the original publication of Gonzalez-Crussi et al [4], where the bridging bronchus was defined as a large bronchial branch which originated in the left main-stem bronchus, bridged the mediastinum from the ipsi- to the contralateral lung and provided the right lower and middle lobe (Figure 3A)
Summary
To the best of our knowledge this is the first report about a patient with a bridging bronchus in its “original form” without associated anomalies of the trachea-bronchial system or other organs.
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