Parekh Pooja, Wagh Ajay
Department of Medicine, University of Chicago, Chicago, IL 60637, USA.
Division of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL 60637, USA.
Diagnostics (Basel). 2024 Oct 10;14(20):2254. doi: 10.3390/diagnostics14202254.
A pediatric patient who presented with non-specific respiratory symptoms, including mild hemoptysis, wheezing, and eventual respiratory distress, was found to have a rare endobronchial inflammatory myofibroblastic tumor obstructing her right mainstem bronchus. It was diagnosed and initially debulked using bronchoscopy, which helped to stabilize the patient and eliminate the need for supplemental oxygen. The patient subsequently underwent successful removal of the residual tumor with parenchymal-sparing sleeve resection. This case highlights the importance of pursuing appropriate imaging along with diagnostic and therapeutic bronchoscopy for an endobronchial lesion to help manage pediatric patients with persistent respiratory symptoms.
一名儿科患者出现非特异性呼吸道症状，包括轻度咯血、喘息，最终出现呼吸窘迫，经检查发现患有罕见的支气管内炎性肌纤维母细胞瘤，阻塞了她的右主支气管。通过支气管镜检查进行了诊断并初步切除肿瘤，这有助于稳定患者病情并消除对补充氧气的需求。该患者随后通过保留实质组织的袖状切除术成功切除了残留肿瘤。这个病例强调了对于支气管内病变，进行适当的影像学检查以及诊断性和治疗性支气管镜检查对于管理有持续呼吸道症状的儿科患者的重要性。
