Plastic bronchitis with the development of atelectasis and bronchiectasis during a long course of bronchial asthma
https://doi.org/10.18093/08690189-2024-34-1-129-133
Abstract
Plastic bronchitis (PB) is a recurrent inflammation of the bronchi, characterized by the formation of fibrin-rich rubber-like secretions that obstruct the airways.
Aim. The authors present a rare case of PB in a 67-year-old woman who had been receiving treatment for bronchial asthma for 20 years. This case was complicated by the development of persistent atelectasis and saccular bronchiectasis of the left lower lobe requiring surgical treatment.
Conclusion. Removal of the rubbery contents of the bronchi by bronchoscopy provides a temporary effect only. Surgical treatment is advisable with a progressive course of the disease.
About the Authors
V. P. MolodtsovaValentina P. Molodtsova, Doctor of Medicine, Senior Researcher, Department of Thoracic Surgery, Research Institute of Surgery and Emergency Medicine
ul. L`va Tolstogo 6 – 8, Saint-Petersburg, 197022
I. V. Dvorakovskaya
Ivetta V. Dvorakovskaya, Doctor of Medicine, Senior Researcher, Research
Institute of Pulmonology
ul. L`va Tolstogo 6 – 8, Saint-Petersburg, 197022
M. A. Dvoretskaya
Maria A. Dvoretskaya, Candidate of Medicine, Radiologist, Department of
Computed Tomography
ul. L`va Tolstogo 6 – 8, Saint-Petersburg, 197022
S. A. Sobchenko
Svetlana A. Sobchenko, Doctor of Medicine, Professor, Senior Researcher,
Department of Thoracic Surgery, Research Institute of Surgery and Emergency Medicine
ul. L`va Tolstogo 6 – 8, Saint-Petersburg, 197022
A. L. Akopov
Russian Federation
Andrey L. Akopov, Doctor of Medicine, Professor, Head of the Department
of Thoracic Surgery, Research Institute of Surgery and Emergency Medicine
ul. L`va Tolstogo 6 – 8, Saint-Petersburg, 197022
References
1. Mintzer R., Neiman H., Reeder M. Mucoid impaction of a bronchus. JAMA. 1978; 240 (13): 1397–1398. DOI: 10.1001/JAMA.1978.03290130091035.
2. Ntiamoah P., Mukhopadhyay S., Ghosh S., Mehta A.C. Recycling plastic: diagnosis and management of plastic bronchitis among adults. Eur. Respir. Rev. 2021; 30 (161): 210096. DOI: 10.1183/16000617.0096-2021.
3. Kamaltynova E.M., Krivoshchekov E.V., Yanulevich O.S., Kavardakova E.S. [Plastic bronchitis associated with corrected heart disease in a child]. Byulleten' sibirskoy mediciny. 2017; 16 (2): 180–186. DOI: 10.20538/1682-0363-2017-2-180-186 (in Russian).
4. Askari E., Soltani K., Haseli S., Yaghatl S. Mucoid impaction of the bronchi (MIB) in a young man with no previous history of hypersensitivity. Radiol. Case Rep. 2022; 18 (1): 416–420. DOI: 10.1016./j.radcr.2022.10.089.
5. Itkin M.G., McCormack F.X., Dori Y. Diagnosis and treatment of lymphatic plastic Bbronchitis in adults using advanced lymphatic imaging and percutaneous embolization. Ann. Am. Thorac. Soc. 2016; 13 (10): 1689–1696. DOI: 10.1513/AnnalsATS.201604-292OC.
6. Parshin V.D., Saliba M.B., Anokhina V.M. et al. [Surgery for chylobronchorea]. Hirurgiya. Zhurnal im. N.I.Pirogova. 2022; (5): 120–125. DOI: 10.17116/hirurgia2022051120 (in Russian).
7. Braman S.S., Whitcomb M.E. Mucoid impaction of the bronchus. JAMA. 1973; 223 (6): 641–644. DOI: 10.1001/jama.1973.03220060021006.
8. Moser C., Nussbaum E., Cooper D.M. Plastic bronchitis and the role of bronchoscopy in the acute chest syndrome of sickle cell disease. Chest. 2001; 120 (2): 608–613. DOI: 10.1378/chest.120.2.608.
9. Whitaker P., Brownlee K., Lee T. et al. Sequential bronchoscopy in the management of lobar atelectasis secondary to allergic bronchopulmonary aspergillosis. J. Bronchology Interv. Pulmonol. 2011; 18 (1): 57–60. DOI: 10.1097/LBR.0b013e318206ea63.
10. Choi E.K., Lee S., Lee D., Park S.J. Successful removal of an intractable mucoid impaction in the bronchus using a Fogarty catheter with flexible bronchoscopy. Saudi J. Anaesth. 2018; 12 (1): 121–124. DOI: 10.4103/sja.SJA_399_17.
11. Takimoto T., Kagawa T., Tachibana K. et al. Massive atelectasis by mucoid impaction in an asthma patient during treatment with anti-interleukin-5 receptor antibody. Respirol. Case Rep. 2020; 18; 8 (6): e00599. DOI: 10.1002/rcr2.599.
Supplementary files
Review
For citations:
Molodtsova V.P., Dvorakovskaya I.V., Dvoretskaya M.A., Sobchenko S.A., Akopov A.L. Plastic bronchitis with the development of atelectasis and bronchiectasis during a long course of bronchial asthma. PULMONOLOGIYA. 2024;34(1):129-133. (In Russ.) https://doi.org/10.18093/08690189-2024-34-1-129-133