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Pseudobronchial crista-like change in children: A case report
Nan Nan Cao1, Qiong Jie Jiao1, Jiang Xue Yan1
1Pediatric Respiratory Department, Lanzhou University Second Hospital, Lanzhou, 730000, China.
Respiratory Medicine Case Reports
|March 22, 2022
Summary
This case report details pseudobronchial crista-like change, a rare condition caused by retained bronchial foreign bodies. Early bronchoscopic identification is crucial to prevent misdiagnosis and ensure timely treatment.
Area of Science:
- Pulmonology
- Pediatric Respiratory Medicine
- Medical Case Reports
Background:
- Pseudobronchial crista-like change is a rare inflammatory hyperplasia of the endobronchial membrane.
- It results from chronic retention of bronchial foreign bodies, often leading to persistent pneumonia.
- This condition is frequently misdiagnosed due to its unusual presentation.
Observation:
- A 4-year-old boy presented with persistent cough, wheezing, and non-healing lobar pneumonia.
- Initial bronchoscopy revealed bronchial stenosis, but a subsequent examination identified foreign bodies in the left lower lobe.
- The observed cristae were diagnosed as pseudobronchial crista-like change secondary to foreign body retention.
Findings:
- Successful removal of foreign bodies was achieved via bronchoscopy.
- Laser ablation and balloon dilatation were used to treat the pseudobronchial crista-like change.
- This represents a unique case with no prior reported instances in medical literature.
Implications:
- Increased clinical awareness of pseudobronchial crista-like change is necessary to reduce misdiagnosis rates.
- Thorough bronchoscopic examination is vital for accurate diagnosis and effective management.
- This case highlights the importance of considering foreign body aspiration in pediatric respiratory illnesses.
