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Pectus ExcavatumAka: Funnel Breast, Trichterbrust
- Epidemiology
- Incidence: 0.5 to 2%
- Gender predominance: Boys (3:1 ratio)
- Causes
- Rickets
- Scurvy
- Marfan's Syndrome
- Occupationally acquired
- Example: Cobbler's Chest (shoe pressed against chest)
- Associated Conditions
- Scoliosis
- Congenital Heart Disease
- Severe childhood Asthma
- Pathophysiology
- Deformed lower costal cartilages
- Results in retraction of chest wall toward spine
- Inferior sternum
- Xiphoid process
- Signs
- Opposite of Pectus Carinatum
- Mild: Oval pit near infrasternal notch
- Severe: Sinking of entire lower sternum
- Complications
- Restrictive lung disease in severe cases
- References
- Degowin (1987) Bedside Exam, Macmillan, p. 274
- Murray and Nadel (2000) Respiratory Medicine, p. 2364-6
Congenital funnel chest (C0016842) | |
|---|---|
| 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) |
| ICD9 | 754.81, 754.81 |
| MSH | D005660 |
| English | Congenital funnel chest, Congenital pectus excavatum, Funnel Chest, Funnel Chests, Pectus Excavatum, Pectus recurvatum, Trichterbrust |
| Spanish | pecho en embudo congenito, torax en embudo congenito |
| Parent Concepts | Other nonteratogenic anomaly NOS (C0158730), Bone Diseases, Developmental (C0005941), Congenital musculoskeletal anomalies (C0151491), Congenital deformity of chest wall (C0265697), Congenital anomaly of thoracic cage (C0432132), Funnel chest (C1153734), Ambiguous concept (C1274012) |
| Sources | COSTAR, DXP, ICD9CM, MSH, MTH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
