Tracheal Bronchus and Associated Anomaly Prevalence Among Children

Al-Naimi, Amal; Hamad, Sara G.; Abushahin, Ahmed

doi:10.7759/cureus.15192

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…The prevalence of tracheal bronchi among children in the Arabian Gulf was reported in 2021 by Al-Naimi et al [ 4 ]. Of the 1,786 patients who underwent flexible bronchoscopy, only 20 (1.12%) had a tracheal bronchus.…”

Section: Discussionmentioning

confidence: 99%

“…The patients’ ages at the time of diagnosis ranged from 2 to 154 months, with a median of 31 months. Most patients with tracheal bronchi (n= 16, 80%) had other associated congenital anomalies; cardiac defects were the most frequently correlated anomalies (8/20, 40%) [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The tracheal bronchus is usually asymptomatic; however, it carries the risk of recurrent pneumonia, bronchiectasis, cough, stridor, wheezing, hypoxia, or atelectasis of the altered lobe [ 4 ]. Failure or delayed recognition of this anomaly may increase the risk of complications.…”

Section: Introductionmentioning

confidence: 99%

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Foreign Body Aspiration in a Child With a Rare Tracheal Bronchus

Salamah

Banjar²,

Banjar³

et al. 2022

Cureus

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A tracheal bronchus is an unusual bronchial division anomaly in which an accessory bronchus arises from the trachea or main bronchus and travels to the higher lobe territory. This report discusses a case of incidentally diagnosed tracheal bronchus after foreign body removal via bronchoscopy.A one-year-old boy presented to the hospital with cough and noisy breathing after choking on peanuts. On examination, he had mild tachypnea with non-prominent subcostal retractions and diminished airflow in the left lung. Rigid bronchoscopy revealed a foreign body in the trachea at the level of the left main bronchus, which was completely removed in one piece under vision using fiberoptic forceps.A tracheal bronchus is an unusual congenital abnormality, with most cases being asymptomatic. Appropriate reporting of such anomalies may help healthcare practitioners promptly diagnose, manage, and avoid complications in the tracheal bronchus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Foreign Body Aspiration in a Child With a Rare Tracheal Bronchus

Salamah

Banjar²,

Banjar³

et al. 2022

Cureus

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Can lung anatomy predict the development of COVID-19 pneumonia in RT-PCR positive cases?

Acar,

Büyüktoka,

Yüce Yörük

et al. 2024

Cukurova Med J

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Purpose: The objective of this study was to investigate the relationship between Coronavirus disease 2019 (COVID-19) pneumonia and anatomical characteristics, including tracheobronchial and fissure variations, right/left main bronchus angle, carina angle, and large airway diameter, in patients who tested positive for the virus via reverse transcription-polymerase chain reaction (RT-PCR) at the outset of the pandemic. Materials and Methods: This cross-sectional study included 165 cases with positive RT-PCR tests who were admitted between March and June 2020 and subsequently scanned with thin-section unenhanced chest computed tomography (CT). They were divided into two groups according to the presence of pneumonia based on the chest CT images. Results: In our study, a total of 165 cases were analyzed, pneumonia was found in 35 of 76 (46.05%) female patients and 51 of 89 (57.30%) male patients. COVID-19 pneumonia was observed in older age groups. Anatomical variations and the presence of incomplete fissures were statistically higher in the pneumonia-positive group, while the difference was not statistically significant for accessory fissures. Mean tracheal area and right main bronchus angle were statistically higher in the pneumonia-positive group compared to the negative patients. The right lung was more involved than the left in terms of both zonal and total lung involvement. When the presence of comorbidity was assessed, 59 patients (35.75%) were found to have comorbidity. Hypertension, diabetes mellitus and cardiovascular disease were significantly higher among comorbidities in the pneumonia-positive group. The regression model showed that hypertension was associated with a 3.75-fold increase in COVID-19 pneumonia in test positive cases. Conclusion: Anatomical lung variations and incomplete fissures were observed more frequently in the COVID-19 pneumonia cases, independent of other comorbidities. We believe that there are anatomical variables that can be used to identify those predisposed to pneumonia in RT-PCR test positive cases.

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Tracheal Bronchus and Associated Anomaly Prevalence Among Children

Abstract: Al-Naimi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 2 publications

References 19 publications

Foreign Body Aspiration in a Child With a Rare Tracheal Bronchus

Foreign Body Aspiration in a Child With a Rare Tracheal Bronchus

Can lung anatomy predict the development of COVID-19 pneumonia in RT-PCR positive cases?

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