[A case of congenital bronchial atresia with obstructive pneumonia accompanied with partial anomalous pulmonary venous drainage].
A 25-year-old male was admitted with productive cough and an abnormal shadow on chest X-ray film which showed a cylindrical shadow near the left hilum and consolidation in the markedly hyperlucent left upper lung field. The cylindrical shadow appeared to be located in left S1+2 but bronchographic examination showed independence of the branches of B1+2. Furthermore, pulmonary venography by DSA showed that the left upper pulmonary vein entered the left brachiocephalic vein. The patient underwent left partial lobectomy under a diagnosis of congenital bronchial atresia with partial anomalous pulmonary venous drainage. Pathological examination of the resected lung revealed obstructive pneumonia in the over-inflated lung zone, probably induced through collateral airways.
Third Department of Internal Medicine, Kanazawa University School of Medicine, Japan.
H
H
Ogawa
M
M
Fujimura
K
K
Kurashima
K
K
Nishi
T
T
Matsuda
S
S
Murakami
Y
Y
Watanabe
A
A
Nonomura
M
M
Kitagawa
K
K
Kondou
D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D001980:Bronchi / Q000002:abnormalities*; D001995:Bronchography; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011014:Pneumonia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging