An adult patient presenting with right unilateral pulmonary agenesis: a case report and literature review

Agenesis of the right lung in an adult woman: A case report

“…Our patient was diagnosed in adulthood, and she has no other congenital abnormalities, which makes it a rare case with a better prognosis. Other cases with the same illness have been reported, and the diagnosis was established accidentally during routine imaging tests 7 or during the diagnostic assessment of pulmonary symptoms 8–11 …”

“…Other cases with the same illness have been reported, and the diagnosis was established accidentally during routine imaging tests 7 or during the diagnostic assessment of pulmonary symptoms. [8][9][10][11] In pulmonary agenesis, diagnosis is usually made using chest imaging tests. The most common radiographic findings are ipsilateral lung volume loss, obliteration of the costal and cardiophrenic angles, displacement of the mediastinal structures toward the affected side, the elevation of the ipsilateral hemidiaphragm, and compensatory hyperinflation of the contralateral lung.…”

Lung adenocarcinoma concurrent with congenital pulmonary aplasia of the right upper lobe: A case report

“…The diagnosis of pulmonary aplasia which is extremely challenging due to the lack of specific symptoms and signs requires a suspicious medical history, careful physical examination, and comprehensive auxiliary examinations. Physical examination may detect an asymmetrical chest with tracheal deviation and abnormal breath sounds ( 19 ). Chest radiographs, CT scan, magnetic resonance imaging (MRI), bronchoscopy and bronchography are critical diagnostic approaches, with 3D CT reconstruction being the most important.…”

Incidental pulmonary agenesis with multiple associated anomalies: A case report

“…It is a rare congenital anomaly which occurs with an incidence of 1 to 2 cases per 10,000 live births. Bilateral pulmonary agenesis is extremely rare and incompatible with life [3] . No side predilection is noted in unilateral pulmonary agenesis, but patients with right lung agenesis have a shorter life span owing to a more significant shift and compression of vital mediastinal structures [ 1 , 2 ].…”

“… [4] suggested that pulmonary agenesis may be seen in association with the VACTERL (vertebral anomalies, anorectal anomalies, cardiac anomalies, trachea-esophageal fistula, renal anomalies and limb anomalies) sequence as an alternative to trachea-esophageal fistula after making note of several such cases. Clinical presentation is quite variable and ranges from severe early respiratory distress after birth to incidental detection of the anomaly in an asymptomatic adult [ 1 , 3 ] .…”