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spelling	The presence of refractory and localized wheezing in a single area of auscultation in adults, especially if they are accompanied by spirometric and radiological abnormalities, are often the clinical expression of a condition that requires a deeper diagnostic process, beyond the easy diagnosis of asthma. Among these abnormalities are vascular rings such as Kommerell¨s diverticulum, which is a very low prevalence variant and it is characterized by the presence of a right aortic arch with an aberrant exit from the left subclavian artery and that causes symptoms due to compression of the adjacent structures. In this clinical case, we provide the diagnosis process of one of these incidental findings, such as the presence of localized wheezing in a young asyntomatic patient with altered spirometry that could lead us to suspect the presence of bronchomalacia, foreign body aspiration, an infection, tumor or vascular ring that went unnoticed until adulthood. Florez De Arco, Lucila Teresa Segovia Fuentes, Javier Ignacio Remolina Medina, Carlos Emiro localized wheezing incidental finding anatomical variant orphan disease dysphagia cough chronic Kommerell vascular ring expiratory loop hallazgo incidental variante anatómica sibilantes enfermedad huérfana disfagia tos crónica Kommerell anillo vascular 34 1 Artículo de revista Journal article 2022-06-01T00:00:00Z 2022-06-01T00:00:00Z 2022-06-01 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/541 10.30789/rcneumologia.v34.n1.2022.541 https://doi.org/10.30789/rcneumologia.v34.n1.2022.541 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ 29 38 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/541/507 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	The presence of refractory and localized wheezing in a single area of auscultation in adults, especially if they are accompanied by spirometric and radiological abnormalities, are often the clinical expression of a condition that requires a deeper diagnostic process, beyond the easy diagnosis of asthma. Among these abnormalities are vascular rings such as Kommerell¨s diverticulum, which is a very low prevalence variant and it is characterized by the presence of a right aortic arch with an aberrant exit from the left subclavian artery and that causes symptoms due to compression of the adjacent structures. In this clinical case, we provide the diagnosis process of one of these incidental findings, such as the presence of localized wheezing in a young asyntomatic patient with altered spirometry that could lead us to suspect the presence of bronchomalacia, foreign body aspiration, an infection, tumor or vascular ring that went unnoticed until adulthood.
author	Florez De Arco, Lucila Teresa Segovia Fuentes, Javier Ignacio Remolina Medina, Carlos Emiro
spellingShingle	Florez De Arco, Lucila Teresa Segovia Fuentes, Javier Ignacio Remolina Medina, Carlos Emiro localized wheezing incidental finding anatomical variant orphan disease dysphagia cough chronic Kommerell vascular ring expiratory loop hallazgo incidental variante anatómica sibilantes enfermedad huérfana disfagia tos crónica Kommerell anillo vascular
author_facet	Florez De Arco, Lucila Teresa Segovia Fuentes, Javier Ignacio Remolina Medina, Carlos Emiro
topic	localized wheezing incidental finding anatomical variant orphan disease dysphagia cough chronic Kommerell vascular ring expiratory loop hallazgo incidental variante anatómica sibilantes enfermedad huérfana disfagia tos crónica Kommerell anillo vascular
topic_facet	localized wheezing incidental finding anatomical variant orphan disease dysphagia cough chronic Kommerell vascular ring expiratory loop hallazgo incidental variante anatómica sibilantes enfermedad huérfana disfagia tos crónica Kommerell anillo vascular
topicspa_str_mv	hallazgo incidental variante anatómica sibilantes enfermedad huérfana disfagia tos crónica Kommerell anillo vascular
citationvolume	34
citationissue	1
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/541
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-sa/4.0/ info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2022-06-01
date_accessioned	2022-06-01T00:00:00Z
date_available	2022-06-01T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/541
url_doi	https://doi.org/10.30789/rcneumologia.v34.n1.2022.541
issn	0121-5426
eissn	2538-9513
doi	10.30789/rcneumologia.v34.n1.2022.541
citationstartpage	29
citationendpage	38
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/541/507
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