- Virtual bronchoscopy gives a retroverted view of bronchial narrowing.
- Three dimensional spiral CT scanning allows reconstruction of the trachea to show the aetiology of narrowing.
Thorax 2004;59:272; doi:10.1136/thx.2003.019257
Copyright © 2004 BMJ Publishing Group Ltd & British Thoracic Society.
Thorax 2004;59:272
© 2004 BMJ Publishing Group Ltd & British Thoracic Society
© 2004 BMJ Publishing Group Ltd & British Thoracic Society
Images in Thorax
Virtual bronchoscopy and 3D spiral CT reconstructions in the management of kyphosis induced tracheal compression
1 Department of Thoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK
2 Department of Radiology, Derriford Hospital, Plymouth PL6 8DH, UK
Correspondence to:
Correspondence to:
Mr N Moorjani
Department of Thoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK; narain.moorjani@doctors.org.uk
| The first 150 words of the full text of this article appear below. |
An 85 year old woman presented to the Accident & Emergency department with a fractured neck of humerus. She had a history of severe osteoporosis and was being treated with alendronic acid and calcium carbonate. Physical examination revealed marked kyphosis with a 90 degree forward curvature of the thoracic spine. Following treatment of her humeral fracture with a collar and cuff, she developed stridor and then a respiratory arrest requiring resuscitation and non-invasive positive pressure ventilation. On further questioning the patient described previous episodes of these attacks of stridor. They were not related to any specific triggers and resolved spontaneously after approximately 10 minutes.
Learning points
Initial investigation with fibreoptic bronchoscopy revealed extrinsic compression of the mid trachea, with the lumen narrowed to less than
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