Congenital bronchial atresia associated with spontaneous pneumothorax.
A 36-year-old woman presented with left chest pain and frequent symptoms of upper respiratory infection. Chest roentgenograms revealed a left pneumothorax and apical bulla, and hyperlucency in the left pulmonary field. She was diagnosed with congenital bronchial atresia associated with a left spontaneous pneumothorax. A thoracoscopy-assisted left superior segmentectomy was performed. There was no recurrence of the pneumothorax or symptoms of recurrent upper respiratory infection at the 1-year follow-up examination. Bulla formation was believed to have resulted from emphysematous changes in the peripheral lung due to congenital bronchial atresia. The pneumothorax may have occurred due to rupture of the bulla.
Kameyama
Kotaro
K
Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan. kk8724@kchnet.or.jp
Okumura
Norihito
N
Kokado
Yujiro
Y
Miyoshi
Kentaro
K
Matsuoka
Tomoaki
T
Nakagawa
Tatsuo
T
D000328:Adult; D001982:Bronchial Diseases / Q000150:complications* / Q000151:congenital / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D011013:Pneumonectomy; D011030:Pneumothorax / Q000209:etiology*; D011656:Pulmonary Emphysema / Q000209:etiology*; D015619:Respiratory System Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012422:Rupture, Spontaneous; D013906:Thoracoscopy