• Resp Care · Jun 2001

    Case Reports

    Bronchial atresia with relapsing pulmonary infection in a middle-aged man.

    • C R Nordstrom, G C Kane, R J Wechsler, A M Salazar, H E Cohn, and J L Farber.
    • Division of Pulmonary Medicine and Critical Care, MCP-Hahnemann School of Medicine, Philadelphia, Pennsylvania, USA.
    • Resp Care. 2001 Jun 1; 46 (6): 601-3.

    AbstractCongenital bronchial atresia (CBA) is a rare disorder, first reported in 1953. Less than 100 cases are reported in the literature, mostly in young, asymptomatic male patients with involvement of the apical-posterior segment of the left upper lobe. Patients may complain of fever, cough, or shortness of breath, symptoms that result from post-obstructive, sometimes recurrent, infections. Chest radiography and computed tomography reveal a tubular branching density representing mucus impaction or mucocele with surrounding focal hyperinflation. Surgical excision is reserved for symptomatic cases. We report an unusual case of CBA in a middle-aged man with a history of relapsing infections, who was found to have an atretic superior segment of the left lower lobe, with surrounding areas of organizing pneumonia.

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