PT  - JOURNAL ARTICLE
AU  - PM ter Wee
AU  - WJ Luth
AU  - AC van der Schee
AU  - J Stam
TI  - Scoliosis as cause of pulmonary atelectasis
AID  - 10.1183/09031936.93.04030371
DP  - 1991 Mar 01
TA  - European Respiratory Journal
PG  - 371--373
VI  - 4
IP  - 3
4099  - http://erj.ersjournals.com/content/4/3/371.short
4100  - http://erj.ersjournals.com/content/4/3/371.full
SO  - Eur Respir J1991 Mar 01; 4
AB  - We present a patients with persistent position-dependent productive cough and intermittent fever. He was first examined at 38 yrs of age. Chest X-ray showed a severe thoracic lordoscoliosis and an atelectasis of the right lower lobe. Bronchography revealed a total stenosis of the right lower lobe bronchus. Five years later had increased symptoms. Spirometry showed total lung capacity (TLC) 3.8 l (predicted value 6.7 l), forced vital capacity (FVC) 2.6 l (4.8 l) and forced expiratory volume in one second (FEV1) 1.7 l (3.9 l). Bronchoscopy demonstrated a smooth stenosis of the right lower lobe bronchus but the stenosis could be passed through with a brush. Computed tomographic scanning demonstrated compression of the right lower lobe bronchus and the atelectasis. After surgical removal of the right lower lobe, all symptoms disappeared. Histological examination of the right lower lobe revealed fibrosis and chronic inflammation.