Mucoid Impaction in a 15-Year-Old With Bronchial Atresia

Srinivas, R.; Devaraj, Uma; Swamy, Smrita; Kumar, Anoop

doi:10.4187/respcare.01196

Cited by 4 publications

(10 citation statements)

References 6 publications

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“…The hyperinflation observed on CT chest results from unidirectional air flow via collateral canals called pores of Kohn and canals of Lambert [8,9]. The emphysematous changes in the post-atretic airways lead to the creation of a physiological dead space.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary hypertension and congenital bronchial atresia: A time factor association

Alebna

Kim

Chaudhary

et al. 2019

Respiratory Medicine Case Reports

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Congenital bronchial atresia is rarely symptomatic in adults. Recurrent lung infection and pneumothorax are the feared complications of this otherwise benign condition. The objective of this article is to present a case of congenital bronchial atresia manifesting as pulmonary hypertension in a 66 year-old patient. While doing so, we highlight the relevant knowledge accrued in medical literature with regards this rare condition. Finally, with the revelation that congenital bronchial atresia may cause severe pulmonary hypertension later in life, perhaps a less conservative approach to management may be warranted in younger adults and children with this condition.

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Section: Discussionmentioning

confidence: 99%

Pulmonary hypertension and congenital bronchial atresia: A time factor association

Alebna

Kim

Chaudhary

et al. 2019

Respiratory Medicine Case Reports

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“…Bronchial atresia is mostly an incidental radiographic finding in young and adult men that results from focal interruption of a segmental and subsegmental bronchus due to intrauterine ischaemia 1 2. It is associated with focal discontinuity of a bronchus, mucus impaction within the distal airways (bronchocele) and increased attenuation of the obstructed pulmonary segment due to collateral ventilation through the intra-alveolar pores of Kohn and the bronchoalveolar channels of Lambert 2 3.…”

Section: Descriptionmentioning

confidence: 99%

“…It is associated with focal discontinuity of a bronchus, mucus impaction within the distal airways (bronchocele) and increased attenuation of the obstructed pulmonary segment due to collateral ventilation through the intra-alveolar pores of Kohn and the bronchoalveolar channels of Lambert 2 3. Most of the cases are asymptomatic.…”

Section: Descriptionmentioning

confidence: 99%

“…It is a relatively common finding in bronchial atresia, but it is also associated with a wide variety of diseases of both congenital and acquired origin. CT images are particularly well suited for ruling out differential diagnosis of conditions such as cystic fibrosis, allergic bronchopulmonary aspergillosis, bronchiectasis, foreign body aspiration, arteriovenous malformation or tumours 2 3. The differential diagnosis list can be easily narrowed by knowledge of the patient's medical history and predisposing factors as well as by conducting careful clinical and radiological evaluations.…”

Section: Descriptionmentioning

confidence: 99%

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Bronchial atresia with finger-in-glove sign

Apilioğulları

Yavsan

2014

BMJ Case Reports

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“…1,2 Bronchial atresia typically presents in older children or adolescents with dyspnea, recurrent pneumonia, and wheezing, or as an incidental finding on chest radiography. [3][4][5] Case report…”

Section: Introductionmentioning

confidence: 99%

Surgery for congenital bronchial atresia

Higuchi

Goto

Nakagomi

et al. 2018

Asian Cardiovasc Thorac Ann

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A 22-year-old woman presented with a feeling of chest tightness. Chest computed tomography showed a dendritic shadow in the left segment 1 + 2c, surrounded by hyperlucent emphysematous changes. Bronchoscopy revealed loss of the orifice of bronchus 1 + 2c. Thus a diagnosis of bronchial atresia was made, and a left upper division segmentectomy was performed. Bronchial atresia should be considered in the differential diagnosis of young patients with an abnormal chest shadow. It can be diagnosed based on the characteristic imaging and bronchoscopic findings. Surgery is indicated for symptomatic bronchial atresia and can provide complete amelioration of the condition.

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Mucoid Impaction in a 15-Year-Old With Bronchial Atresia

Cited by 4 publications

References 6 publications

Pulmonary hypertension and congenital bronchial atresia: A time factor association

Pulmonary hypertension and congenital bronchial atresia: A time factor association

Bronchial atresia with finger-in-glove sign

Surgery for congenital bronchial atresia

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