3-dimensional computed tomography imaging of the ring-sling complex with non-operative survival case in a 10-year-old female

Hironobu Fukuda, George Imataka, Fabrizio Drago, Kosaku Maeda, Shigemi Yoshihara

Research output: Contribution to journalArticle

Abstract

We report a case of a 10-year-old female patient who survived ring-sling complex without surgery. The patient had congenital wheezing from the neonatal period and was treated after a tentative diagnosis of infantile asthma. The patient suffered from allergy and was hospitalized several times due to severe wheezing, and when she was 22 months old, she was diagnosed with ring-sling complex. We used a segmental 4 mm internal diameter of the trachea for 3-dimensional computed tomography (3D-CT). Bronchial asthma is considered an exacerbating factor in infantile period and frequently required treatment with bronchodilator. After the age of 10, the patient had recurrent breathing difficulties during physical activity and during night time, and this condition was assessed to be related to the pressure from the blood vessel on the ring. We repeated the 3D-CT evaluation later and discovered that the internal diameter of the trachea had grown to 5 mm. Eventually, patient’s breathing difficulties disappeared after the treatment of bronchial asthma and restriction of physical activities. Our patient remained in stable condition without undergoing any surgical procedures even after she passed the age of 10.

Original languageEnglish
Pages (from-to)2600-2602
Number of pages3
JournalExperimental and Therapeutic Medicine
Volume14
Issue number3
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • 3D-CT
  • Lung agenesis
  • Pulmonary sling
  • Tracheal stenosis
  • Vascular compression

ASJC Scopus subject areas

  • Immunology and Microbiology (miscellaneous)
  • Cancer Research

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