Tracheal bronchus in a pediatric patient: a rare cause of recurrent lobar pneumonia
DOI:
https://doi.org/10.18203/2349-3291.ijcp20260418Keywords:
Recurrent pneumonia, Tracheal bronchus, CT imagingAbstract
Tracheal bronchus is a rare congenital anomaly involving an aberrant bronchus arising directly from the trachea, often supplying the right upper lobe. Although asymptomatic, it can contribute to recurrent pulmonary infections. We present a case of a 4-year-old female with multiple episodes of right upper lobe pneumonia who was ultimately diagnosed with tracheal bronchus via CT imaging. The case underscores the importance of considering structural airway anomalies in pediatric patients with recurrent, localized pneumonia.
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References
Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics. 2001;21(1):105-19. DOI: https://doi.org/10.1148/radiographics.21.1.g01ja06105
McLaughlin FJ, Strieder DJ, Harris GB, Vawter GP. Tracheal bronchus: association with respiratory morbidity in children. J Pediatr. 1985;106(5):751-5. DOI: https://doi.org/10.1016/S0022-3476(85)80348-6
Srikanth MS, Ford EG, Miller JP, Andrassy RJ. Tracheal bronchus: classification, endoscopic analysis, and surgical implications. J Pediatr Surg. 1992;27(6):732-5. DOI: https://doi.org/10.1016/S0022-3468(05)80103-4
Dyer DS, Mohammed TL, Kirsch J. ACR Appropriateness Criteria® on recurrent pneumonia in children. J Am Coll Radiol. 2014;11(1):70-5.
Kim YJ, Goo JM, Im JG. Right upper lobe bronchus arising from the trachea: CT findings. Radiology. 1999;213(3):553-8.
Lee EY, Boiselle PM, Cleveland RH. Multidetector CT evaluation of congenital lung anomalies. Radiol Clin North Am. 2008;46(2):203-30. DOI: https://doi.org/10.1148/radiol.2473062124
Gonzalez-Crussi F. Pathology of Pediatric Airways. New York: Springer-Verlag. 1993.
Talebian A, Shamberger RC, Doody DP. Tracheal bronchus as a cause of recurrent pneumonia. Pediatr Pulmonol. 1988;4(3):172-4.
Mohammadi S, Rezaei M, Rakhshani N. Tracheal bronchus: A rare anatomical variant causing recurrent infections. BMC Pulm Med. 2023;23:65.
Rasooly T. Recurrent pneumonia due to tracheal bronchus in an infant. Pediatr Radiol. 2023;53(1):117-20.
Gurung A. H-type tracheoesophageal fistula associated with tracheal bronchus: A case report. J Pediatr Surg Case Rep. 2023;95:102542. DOI: https://doi.org/10.1016/j.epsc.2023.102685