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Open Access Case report

Bridging bronchus - a rare cause of recurrent wheezy bronchitis

Anja Schnabel1*, Katja Glutig2 and Christian Vogelberg1

Author Affiliations

1 Pediatric Department, Technical University of Dresden, Germany; University Hospital, Fetscherstraße 74, 01307, Dresden, Germany

2 Department of Pediatric Radiology, Technical University of Dresden, Germany; University Hospital, Fetscherstraße 74, 01307, Dresden, Germany

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BMC Pediatrics 2012, 12:110  doi:10.1186/1471-2431-12-110

Published: 28 July 2012

Abstract

Background

Wheezing 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 presentation

We 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.

Conclusion

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.

Keywords:
Congenital airway anomalies; Bronchial branching anomaly; Airway malformation