Right main bronchus perforation detected by 3D-image

László Bense, Gunnar Eklund, Hakan Jorulf, Árpád Farkas, Imre Balásházy, Göran Hedenstierna, Ádám Krebsz, Balázs Gergely Madas, Jerker Eden Strindberg

Research output: Contribution to journalArticle

Abstract

A male metal worker, who has never smoked, contracted debilitating dyspnoea in 2003 which then deteriorated until 2007. Spirometry and chest x-rays provided no diagnosis. A 3D-image of the airways was reconstructed from a high-resolution CT (HRCT) in 2007, showing peribronchial air on the right side, mostly along the presegmental airways. After digital subtraction of the image of the peribronchial air, a hole on the cranial side of the right main bronchus was detected. The perforation could be identified at the re-examination of HRCTs in 2007 and 2009, but not in 2010 when it had possibly healed. The occupational exposure of the patient to evaporating chemicals might have contributed to the perforation and hampered its healing. A 3D HRCT reconstruction should be considered to detect bronchial anomalies, including wall-perforation, when unexplained dyspnoea or other chest symptoms call for extended investigation.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 2011

ASJC Scopus subject areas

  • Medicine(all)

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    Bense, L., Eklund, G., Jorulf, H., Farkas, Á., Balásházy, I., Hedenstierna, G., Krebsz, Á., Madas, B. G., & Strindberg, J. E. (2011). Right main bronchus perforation detected by 3D-image. BMJ Case Reports. https://doi.org/10.1136/bcr.12.2010.3639