Communicating Bronchopulmonary Foregut Malformation Type IB: Diagnostic and Surgical Challenges

Jadhav, Bhushanrao; Vaseeharan, Ranjithatharsini; Sekaran, Prabhu; Folaranmi, Semiu Eniola; Awad, Karim

doi:10.1055/s-0041-1740321

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…It is supplied by abnormal systemic circulation and is also associated with abnormal digestive system development, such as communication with the stomach and esophagus. Some studies suggest that the development of additional accessory lung buds situated beneath the normal lung buds, which do not regress in a timely fashion and retain a common blood supply with the foregut, may contribute to the condition ( 3 , 4 ). These abnormal connections may harbor bronchial epithelium or esophagogastric mucosa.…”

Section: Introductionmentioning

confidence: 99%

Analysis of imaging in pediatric bronchopulmonary foregut malformations with literature review: case reports

Ji,

Zhang,

Guan

et al. 2024

Front. Pediatr.

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BackgroundBronchopulmonary foregut malformation (BPFM) is an uncommon condition, with few case reports documented in both national and international literature. This scarcity underscores the importance of utilizing effective imaging techniques to improve our understanding and diagnostic precision concerning this disorder.Case descriptionIn the first case report, a neonate, born at full term and aged 15 days, presented with symptoms including dyspnea, coughing, wheezing, cyanosis, and vomiting. Initial diagnostic evaluations, which included chest radiography and upper gastrointestinal tract radiography, led to an erroneous initial diagnosis of a left-sided diaphragmatic hernia, accompanied by a suspicion of infection. In the second case report, another neonate, also born at full term but aged 5 days, exhibited symptoms such as coughing, choking, and mild vomiting. Utilizing a combination of computed tomography (CT) scans (plain, enhanced, and reconstructed), chest x-ray, and upper gastrointestinal tract radiography, the diagnosis of BPFM was accurately determined.ConclusionComprehensive imaging examinations play a crucial role in reducing misdiagnosis and diagnostic oversights in cases of BPFM. Given its rarity, BPFM often manifests as a sequestered lung accompanied by gastrointestinal abnormalities. Hence, the integration of CT scans with gastrointestinal tract radiography can substantially improve diagnostic precision in such cases.

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Section: Introductionmentioning

confidence: 99%

Analysis of imaging in pediatric bronchopulmonary foregut malformations with literature review: case reports

Ji,

Zhang,

Guan

et al. 2024

Front. Pediatr.

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Right esophageal lung with associated pulmonary vascular anomaly: A rare case report

Hailu,

Abrar

et al. 2023

International Journal of Surgery Open

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Introduction and Importance Congenital bronchopulmonary foregut malformation (CBPFM) is a rare anomaly in which either a lung, a lung lobe or a segment has a patent congenital communication to the upper gastrointestinal tract. In esophageal lung, an anomalous main bronchus arises from the esophagus rather than the trachea. Case presentation A male neonate was admitted with respiratory distress immediately following birth. Radiographic evaluation included chest radiograph, chest Ultrasound, chest CT and an upper gastrointestinal (GI) contrast study. A completely opaque right hemithorax was initially visualized and identified as esophageal lung with associated anomalous partial systemic arterial supply and venous drainage. A right posterolateral thoracotomy with pneumonectomy of the hypoplastic lung was performed. However, the patient died of respiratory failure on the first postoperative day. Clinical discussion Esophageal lung is an extremely rare form of CBPFM in which a main stem bronchus, usually the right one, is abnormally connected to the esophagus. The diagnosis is suggested by chest x-ray and confirmed by upper GI contrast study, which is also available in resource-poor settings. A CT scan with 3D volume rendered images can make a diagnosis, although difficulties remain. Pneumonectomy is the preferred treatment for most patients. Conclusion Esophageal lung is a rare congenital abnormality with few reported cases. Radiologists and pediatricians should have a high index of suspicion for this anomaly in cases of neonatal respiratory distress and a persistently opacified lung with focal air bronchogram(s) and pursue a timely confirmatory contrast study. Highlights

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Association between duodenal atresia/stenosis and biliary and pancreatic abnormalities: Is it overlooked? A systematic review

Pederiva,

Montedonico,

Contreras

et al. 2023

Journal of Pediatric Surgery Open

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Communicating Bronchopulmonary Foregut Malformation Type IB: Diagnostic and Surgical Challenges

Cited by 4 publications

References 5 publications

Analysis of imaging in pediatric bronchopulmonary foregut malformations with literature review: case reports

Analysis of imaging in pediatric bronchopulmonary foregut malformations with literature review: case reports

Right esophageal lung with associated pulmonary vascular anomaly: A rare case report

Association between duodenal atresia/stenosis and biliary and pancreatic abnormalities: Is it overlooked? A systematic review

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