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[Plastic bronchitis].

Lene Thorup1, Jørn Carlsen2,3, Jakob Gjedsted4

  • 1Afdeling for Hjerte- og Lungekirurgi, Hjertecentret, Københavns Universitetshospital - Rigshospitalet.

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|September 30, 2022
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Summary
This summary is machine-generated.

Plastic bronchitis (PB) is a rare condition where abnormal thoracic lymphatic vessels cause airway obstruction. This case report details the first Danish interventional treatment using advanced MR imaging and embolisation for this rare disease.

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Area of Science:

  • Thoracic medicine
  • Interventional radiology
  • Rare diseases

Background:

  • Plastic bronchitis (PB) is a rare condition characterized by abnormal thoracic lymphatic vessels draining into the bronchi.
  • This lymphatic drainage leads to the formation of solid bronchial casts, causing potentially life-threatening airway obstruction.
  • Diagnosis can be challenging, with symptoms often mistaken for other respiratory conditions like non-allergic asthma.

Observation:

  • A 30-year-old male patient presented with symptoms initially misdiagnosed as non-allergic asthma.
  • Extensive examinations over several years preceded the diagnosis of plastic bronchitis.
  • The patient underwent a novel interventional procedure as part of his treatment.

Findings:

  • The study details the first interventional treatment for plastic bronchitis in Denmark.
  • Advanced T2-weighted MR imaging and dynamic contrast MR lymphangiography were utilized for diagnosis and planning.
  • Successful embolisation of abnormal lymphatic vessels in the thorax was performed.

Implications:

  • This case highlights the utility of advanced MR imaging techniques in diagnosing and managing plastic bronchitis.
  • Interventional embolisation offers a promising treatment option for patients with plastic bronchitis and abnormal thoracic lymphatic vessels.
  • Improved diagnostic pathways and interventional strategies can lead to better outcomes for patients with this rare and severe condition.