- 期刊
Congenital Bronchial Atresia Presenting as a Cavitary Lesion-A Case Report
以開洞性病灶來表現的支氣管閉鎖症－病例報告
摘要
支氣管閉鎖症通常是意外發現的肺部結構異常，它在主要氣道和細支氣管間失去了交通性。影像學上的表現常可和其他疾病混淆。我們提出一位年輕女性，在常規的胸部放射線檢查中發現管狀的腫塊，電腦斷層表現為開洞性的病灶伴隨周邊的肺氣腫變化。支氣管鏡檢查顯示在左上葉的前分支開口處狹窄。細胞學和細菌培養皆為陰性。電腦斷層是最佳的檢查利器，而支氣管鏡檢查可協助排除其他疾病。
關鍵字
支氣管閉鎖症並列摘要
Bronchial atresia is a rare congenital anomaly usually identified as an incidental finding during routine examinations in adulthood. We report a case in which routine chest radiograph revealed bronchial atresia with a cavitary lesion surrounded by hyperinflated lung tissue and few vascular markings. Chest computed tomography (CT) revealed a cavitary lesion with air-fluid level and segmental emphysematous changes. Bronchoscopy revealed a very small orifice at the beginning of the bronchus. The initial chest radiograph findings of bronchial atresia can mimic those of many pulmonary diseases. The diagnosis of congenital bronchial atresia can be confirmed on the basis of chest CT findings. Bronchoscopy can be helpful in excluding the possibility of other pulmonary diseases in doubtful cases.