Congenital bronchial atresia--presentation of three cases and a pictorial review
- PMID:10201860
- DOI: 10.1016/s0009-9260(99)91002-4
Congenital bronchial atresia--presentation of three cases and a pictorial review
Abstract
Congenital bronchial atresia (CBA) is a rare anomaly that results from a congenital focal obliteration of a proximal segmental or subsegmental bronchus with the normal development of distal structures. The short atretic segment leads to accumulation of mucus within the distal bronchi to form a bronchocoele and underventilation of the affected part of the lung. The clinical and radiographic features of three cases of CBA are reported and the literature is reviewed. Radiologically, CBA is characterized by the presence of a branching opacity, the bronchocoele, radiating from the hilum surrounded by an area of hyperlucency. These features can be recognized on the chest radiograph but are more clearly defined by computed tomography. Fibreoptic bronchoscopy (FOB) is often required to exclude acquired proximal bronchial obstruction by tumour, foreign body or inflammatory stricture. In CBA a blind-ending bronchus may be revealed, although FOB is often normal. Bronchographic examination is generally abnormal but the appearances may be confusing and is rarely performed. Pathologically, CBA is characterized by a blind-ending bronchus associated with dilated distal bronchi containing impacted mucus. The surrounding lung parenchyma is hyperinflated due to collateral air drift. CBA can be identified accurately by imaging techniques which may make surgery unnecessary in asymptomatic cases.
Similar articles
- Bronchial atresia: report of a case and review of the literature.Mori M, Kidogawa H, Moritaka T, Ueda N, Furuya K, Shigematsu S.Mori M, et al.Surg Today. 1993;23(5):449-54. doi: 10.1007/BF00309505.Surg Today. 1993.PMID:8324339Review.
- Bronchial atresia of the right lower lobe.Murat A, Ozdemir H, Yildirim H, Kursad Poyraz A, Artas H.Murat A, et al.Acta Radiol. 2005 Aug;46(5):480-3. doi: 10.1080/02841850510021490.Acta Radiol. 2005.PMID:16224922
- Congenital bronchial atresia. A report of 4 cases and a review of the literature.Jederlinic PJ, Sicilian LS, Baigelman W, Gaensler EA.Jederlinic PJ, et al.Medicine (Baltimore). 1987 Jan;66(1):73-83.Medicine (Baltimore). 1987.PMID:3807776
- Congenital bronchial atresia in infants and children.Morikawa N, Kuroda T, Honna T, Kitano Y, Fuchimoto Y, Terawaki K, Kawasaki K, Koinuma G, Matsuoka K, Saeki M.Morikawa N, et al.J Pediatr Surg. 2005 Dec;40(12):1822-6. doi: 10.1016/j.jpedsurg.2005.08.021.J Pediatr Surg. 2005.PMID:16338298
- Congenital bronchial atresia (CBA). A critical review of CBA as a disease entity and presentation of a case series.Pedicelli G, Ciarpaglini LL, De Santis M, Leonetti C.Pedicelli G, et al.Radiol Med. 2005 Nov-Dec;110(5-6):544-53.Radiol Med. 2005.PMID:16437040Review.English, Italian.
Cited by
- ENDOBRONCHIAL TUBERCUCLOSIS PRESENTING AS A BRONCHOCELE.Singh H, Jetley RK, Maurya V, Saini M.Singh H, et al.Med J Armed Forces India. 2001 Jan;57(1):68-9. doi: 10.1016/S0377-1237(01)80099-X. Epub 2011 Jul 21.Med J Armed Forces India. 2001.PMID:27365586Free PMC article.No abstract available.
- Congenital bronchial atresia: diagnosis and treatment.Wang Y, Dai W, Sun Y, Chu X, Yang B, Zhao M.Wang Y, et al.Int J Med Sci. 2012;9(3):207-12. doi: 10.7150/ijms.3690. Epub 2012 Mar 3.Int J Med Sci. 2012.PMID:22408569Free PMC article.
- Congenital bronchial atresia presenting as a cavitary lesion on chest radiography: a case report.Psathakis K, Eleftheriou D, Boulas P, Mermigkis C, Tsintiris K.Psathakis K, et al.Cases J. 2009 Jan 7;2(1):17. doi: 10.1186/1757-1626-2-17.Cases J. 2009.PMID:19128454Free PMC article.
- Bronchial atresia associated with spontaneous pneumothorax: report of a case.Yoon YH, Son KH, Kim JT, Baek WK, Kim KH, Lee KH, Han HS.Yoon YH, et al.J Korean Med Sci. 2004 Feb;19(1):142-4. doi: 10.3346/jkms.2004.19.1.142.J Korean Med Sci. 2004.PMID:14966358Free PMC article.
Publication types
MeSH terms
Related information
LinkOut - more resources
Full Text Sources