Esophageal lung – A rare bronchopulmonary foregut malformation

Parelkar, Sandesh; Sanghvi, Beejal; Patil, Shalil H; Mhaskar, Satej S; Munghate, Gayatri; Sisodiya, Neha; Tiwari, Pradyot; Pawar, A.A.; Shah, Rujuta; Oak, Sanjay

doi:10.1016/j.epsc.2014.10.011

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…In this anomaly, one of the bronchi arises from the esophagus. The anomaly is believed to arise from defective lung budding, differentiation, and separation from the foregut associated with a focal mesodermal defect [2]. Srikanth and colleagues [3] have described a classification system for the same, and the case described here falls under group III.…”

Section: Commentmentioning

confidence: 90%

Esophageal Bronchus

Murthy

Lamberti

Saenz

2017

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 90%

Esophageal Bronchus

Murthy

Lamberti

Saenz

2017

The Annals of Thoracic Surgery

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“…The embryogenesis proposed by Srikanth et al describes the communication to result from a focal mesodermal defect in the tracheoesophageal groove and the involved portion of lung may be pulled away by the differential elongation of the esophagus, isolating it from the main respiratory tract [2]. There is a strong predilection of this anomaly to occur on the right side due to the proximity of the right main bronchus to the esophagus [2,4,6,7]. Esophageal lung refers to a variant where the entire lung is dysplastic and communicates with the esophagus through its main bronchus.…”

Section: Discussionmentioning

confidence: 99%

Bronchiectasis without lower respiratory symptoms in the presence of multisystem anomalies – a clinical clue to diagnose esophageal lung anomaly

Gupta

Snehil

Kumar

et al. 2022

Monaldi Arch Chest Dis

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Esophageal lung is a type of Group-II communicating bronchopulmonary foregut malformations (CBPFM) usually diagnosed beyond neonatal period during investigation for recurrent respiratory symptoms and persistent radiographic features suggesting pneumonia or bronchiectasis. In our case, we noticed bronchiectasis and disproportionately severe volume loss in an infant with associated multisystem anomalies in the absence of “significant” lower respiratory tract symptoms. A detailed evaluation with repeat imaging confirmed a Group-II CBPFM, a congenital pathology instead of an infective cause. Pneumonectomy is a more prudent option instead of undertaking major airway reconstruction for the dysplastic “dysfunctional” tissue. Amongst the various associated anomalies reported till now, the associated rib and renal anomalies noted by us have not been described earlier to the best of our knowledge.

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“…Communicating bronchopulmonary foregut malformation (CBPFM) occurs when there is a congenital communication between the lung and foregut because of a focal mesodermal defect [3] , [4] . Srikanth et al.…”

Section: Discussionmentioning

confidence: 99%

“…When a primitive mainstem bronchus is joined to the esophagus, the anomaly is known as “esophageal lung” [4] , and when only a lobar bronchus arises from the esophagus, the anomaly is called “esophageal bronchus” [5] . Esophageal lung was first described by Keely et al.…”

Section: Discussionmentioning

confidence: 99%

“…Other congenital anomalies can co-exist in association with esophageal lung. For example, esophageal lung with esophageal atresia and tracheoesophageal fistula has been described in about half of the reported cases [4] , [7] , [8] . Other associated conditions, such as duodenal atresia, duodenal stenosis, and congenital heart disease, have been reported [9] , [10] .…”

Section: Discussionmentioning

confidence: 99%

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Esophageal lung with rare associated vascular and anorectal malformations

Alsaadi

Alsufiani

Allugmani

et al. 2018

Radiology Case Reports

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Esophageal lung is a rare communicating bronchopulmonary foregut malformation in which the main bronchus arising from the trachea is absent. The affected lung is usually hypoplastic and aerated via an anomalous airway originating from the esophagus. Other anomalies such as esophageal atresia with tracheoesophageal fistula or VACTERL (vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, and limb abnormalities) association can co-exist. The initial radiographic findings may be normal, but subsequent imaging usually shows progressive and recurrent lung collapse, probably because of recurrent aspiration through the anomalous airway and poor compliance of the affected lung during breathing. In this report, we describe a neonate with esophageal lung and rare associated anomalies, including anorectal malformation, pulmonary artery sling, and inferior vena cava interruption with azygous continuation. To our knowledge, this is the first report of esophageal lung with such associations.

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Esophageal lung – A rare bronchopulmonary foregut malformation

Cited by 6 publications

References 9 publications

Esophageal Bronchus

Esophageal Bronchus

Bronchiectasis without lower respiratory symptoms in the presence of multisystem anomalies – a clinical clue to diagnose esophageal lung anomaly

Esophageal lung with rare associated vascular and anorectal malformations

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