Anwar Nadeem, Yadavilli Rajesh, Ibrahim Kamal
Department of Respiratory Medicine, Royal Bolton Hospital, Bolton, UK.
BMJ Case Rep. 2011 Feb 23;2011:bcr0820103207. doi: 10.1136/bcr.08.2010.3207.
Swyer-James-McLeod's syndrome (SJMS) occurs as a result of childhood recurrent respiratory infections. As this condition presents with few symptoms, if any, it may pass unnoticed until adulthood. The authors are presenting a case of a 17-year-old male admitted with spontaneous pneumothorax. Even though his lung expanded, his chest x-rays still mimicked a pneumothorax. Chest CT pulmonary angiogram was needed to confirm the diagnosis of unilateral SJMS. Diagnostic difficulty arose because both conditions were on the same side.
斯怀尔-詹姆斯-麦克劳德综合征（SJMS）是儿童期反复呼吸道感染的结果。由于这种疾病即使有症状也很少，可能直到成年才被发现。作者报告了一例17岁男性因自发性气胸入院的病例。尽管他的肺已复张，但胸部X光片仍显示类似气胸的表现。需要进行胸部CT肺动脉造影来确诊单侧SJMS。由于两种情况都发生在同一侧，因此诊断存在困难。
