I. Epidemiology

  1. Incidence: 0.5 to 2%
  2. Gender predominance: Boys (3:1 ratio)

II. Causes

  1. Rickets
  2. Scurvy
  3. Marfan's Syndrome
  4. Occupationally acquired
    1. Example: Cobbler's Chest (shoe pressed against chest)

III. Associated Conditions

IV. Pathophysiology

  1. Deformed lower costal cartilages
  2. Results in retraction of chest wall toward spine
    1. Inferior Sternum
    2. Xiphoid process

V. Signs

  1. Opposite of Pectus Carinatum
  2. Mild: Oval pit near infrasternal notch
  3. Severe: Sinking of entire lower Sternum

VI. Complications

  1. Restrictive Lung Disease in severe cases

VII. References

  1. Degowin (1987) Bedside Exam, Macmillan, p. 274
  2. Murray and Nadel (2000) Respiratory Medicine, p. 2364-6

Images: Related links to external sites (from Google)

Ontology: Congenital pectus excavatum (C0016842)

Definition (MSHCZE) vrozená vada, při níž je přední stěna hrudníku vtažena dovnitř (trychtýřovitě, též pectus infundibuliforme) s možným ovlivněním činnosti srdce a plic. Léčí se dechovými cvičeními, ev. chirurgicky. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ )
Definition (MSH) A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax.
Concepts Congenital Abnormality (T019) , Disease or Syndrome (T047)
MSH D005660
ICD9 754.81
ICD10 Q67.6
SnomedCT 391982004, 123260001, 391986001, 74708002, 45469009, 268348002, 157002004
English Chest, Funnel, Chests, Funnel, Excavatum, Pectus, Funnel Chest, Funnel Chests, Pectus Excavatum, Pectus excavatum, FUNNEL CHEST, PECTUS EXCAVATUM, pectus excavatum (diagnosis), pectus excavatum, Funnel breast, Hollowed breast, Funnel Chest [Disease/Finding], pectus recurvatum, funnel breast, excavatum pectus, chested funnel, congenital pectus excavatum, disorders excavatum pectus, Pectus recurvatum, Trichterbrust, Pectus excavatum (disorder), Cobbler's chest (disorder), Congenital pectus excavatum, Congenital funnel chest, Congenital pectus excavatum (disorder), funnel chest, congenital; funnel chest, excavatum; pectus, funnel chest; congenital, pectus; excavatum, Cobbler's chest -RETIRED-, Pectus excavatum [ambiguous][dup] (disorder), Funnel chest, Cobbler's chest
Dutch trechterborst, cobbler's chest (schoenmakersborst), ingezakte borst, schoenmakersborst (pectus excavatum), congenitaal; trechterborst, excavatum; pectus, pectus; excavatum, trechterborst; congenitaal, pectus excavatum, Pectus excavatum, Schoenmakersborst
French Poitrine creuse, Cuvette sternale, Thorax en entonnoir, Pectus excavatum
German Schusterbrust, eingefallene Brust, Pectus excavatum, Trichterbrust
Italian Torace da calzolaio, Petto incavato, Torace ad imbuto, Petto scavato, Pectus excavatum, Torace a imbuto
Portuguese Peito em funil, Tórax em funil, Tórax de sapateiro, Peito de Sapateiro, Tórax Escavado, Peito escavado, Pectus Excavatum, Tórax em Funil
Spanish Tórax excavado, Tórax de Cobbler, Pecho en embudo, Tórax en embudo, pectus excavatum congénito, pecho en embudo congénito, pecho excavado, pectus recurvatum, pectus excavatum (trastorno), tórax de Cobbler - RETIRADO -, tórax de Cobbler - RETIRADO - (concepto no activo), tórax infundibuliforme, pectus excavatum, Tórax de Zapatero, Tórax en Embudo Congénito, Tórax Excavado, tórax en embudo congénito (trastorno), tórax en embudo congénito, Pectus excavatum, Pectus Excavatum, Tórax en Embudo
Japanese コブラー胸, 先天性漏斗胸, ロウトムネ, コブラーキョウ, センテンセイロウトキョウ, カンボツキョウ, ロウトキョウ, カンボツムネ, 陥凹胸, 漏斗胸, 靴匠胸, 靴工胸
Swedish Trattbröst
Czech hrudník vpáčený, pectus excavatum, Nálevkovitý hrudník, Vpadlý hrudník, Pectus excavatum, pectus infundibuliforme, hrudník nálevkovitý
Finnish Kuopparinta
Russian VORONKOOBRAZNAIA GRUD', GRUD' SAPOZHNIKA, GRUDNAIA KLETKA VORONKOOBRAZNAIA, ВОРОНКООБРАЗНАЯ ГРУДЬ, ГРУДНАЯ КЛЕТКА ВОРОНКООБРАЗНАЯ, ГРУДЬ САПОЖНИКА
Korean 오목가슴
Polish Klatka piersiowa lejkowata
Hungarian Emlő tölcsér, Cobbler-mellkas, Emlő hollowed, Pectus excavatum, Susztermellkas
Norwegian Traktbryst, Pectus excavatum