Swyer-James syndrome and subglottic tracheal stenosis

Case contributed by Dr Matthew Lukies


Recurrent dilatation procedures for chronic subglottic tracheal stenosis.

Patient Data

Age: 25
Gender: Female
  • Subglottic tracheal stenosis
  • Hyperlucent left upper lobe with decreased bronchovascular markings. The lingular segment is spared.
  • Air trapping in the left upper lobe demonstrated by the relatively increased hyperlucency in the expiratory phase compared to the inspiratory phase

The appearance is consistent with Swyer-James syndrome.

Case Discussion

This case demonstrates the typical findings of Swyer-James syndrome, also known as Swyer-James-MacLeod syndrome or Bret syndrome, considered to be a post-infectious long term sequelae of obliterative bronchiolitis in childhood.

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Case information

rID: 44369
Case created: 19th Apr 2016
Last edited: 24th Jul 2017
System: Chest
Inclusion in quiz mode: Included

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