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KMID : 1103720140700050343
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Journal of the Korean Society of Radiology
2014 Volume.70 No. 5 p.343 ~ p.346
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Extrinsic Tracheal Compression Caused by Scoliosis of the Thoracic Spine and Chest Wall Deformity: A Case Report
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Beck Kyong-Min
Lee Bae-Young
Kim Hyeon-Sook
Song Kyung-Sup
Kang Hyeon-Hui
Lee Sang-Haak
Moon Hwa-Sik
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Abstract
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Extrinsic airway compression due to chest wall deformity is not commonly observed. Although this condition can be diagnosed more easily with the help of multidetector CT, the standard treatment method has not yet been definitely established. We report a case of an eighteen-year-old male who suffered from severe extrinsic tracheal compression due to scoliosis and straightening of the thoracic spine, confirmed on CT and bronchoscopy. The patient underwent successful placement of tracheal stent but later died of bleeding from the tracheostomy site probably due to tracheo-brachiocephalic artery fistula. We describe the CT and bronchoscopic findings of extrinsic airway compression due to chest wall deformity as well as the optimal treatment method, and discuss the possible explanation for bleeding in the patient along with review of the literature.
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KEYWORD
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Scoliosis, Thoracic Wall Abnormalities, Airway Obstruction, Trachea, Spiral CT
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