Related Experiment Video

Updated: Aug 18, 2026

Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
02:34

Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease

Published on: May 10, 2024

Bronchogenic cyst -- cause of refractory wheezing in infancy

Tonny Mampilly1, Reena Kurian, Anuradha Shenai

  • 1Department of Pediatrics and Neonatology, PVS Memorial Hospital Ltd, Kaloor, Kochi, India.

Indian Journal of Pediatrics
|May 7, 2005
PubMed

Insights

Persistent wheezing in infants and children can indicate underlying congenital lesions. Early diagnosis and surgical removal of conditions like bronchogenic cysts are crucial for symptomatic improvement.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Congenital Abnormalities

Background:

  • Recurrent wheezing is a common pediatric respiratory issue.
  • Peanut aspiration can cause acute airway obstruction and persistent symptoms.
  • Congenital lung abnormalities may present with non-specific respiratory symptoms.

Observation:

  • A 1.5-year-old male with a history of recurrent wheezing presented with severe, refractory symptoms after peanut aspiration.
  • Bronchoscopy successfully removed the aspirated peanut, but wheezing persisted.
  • Further evaluation revealed a bronchogenic cyst as the underlying cause.

Findings:

  • Surgical excision of the bronchogenic cyst led to symptomatic improvement.
  • Persistent and refractory wheezing in pediatric patients can be indicative of congenital lesions.
  • Bronchogenic cysts are a rare congenital anomaly that can cause significant respiratory compromise.

Implications:

  • Congenital lesions should be considered in the differential diagnosis of persistent and refractory wheezing in infants and children.
  • Timely surgical intervention for congenital lung abnormalities can resolve chronic respiratory symptoms.
  • This case highlights the importance of a comprehensive diagnostic approach in pediatric respiratory cases.

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Breathing01:05

Breathing

The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...