Okada Akira, Hirono Tatsuhiko, Watanabe Takehiro
Department of Chest Surgery, National Hospital Organisation Nishi-Niigata Chuo National Hospital, Niigata, Japan.
Asian Cardiovasc Thorac Ann. 2014 Mar;22(3):359-61. doi: 10.1177/0218492313479354. Epub 2013 Sep 3.
A 35-year-old woman with a high fever had a cystic lesion of the right lung including fluid and air. She was diagnosed with an infected bronchial cyst caused by congenital bronchial atresia with partial anomalous pulmonary venous return. She underwent a right upper lobectomy successfully. Patients with congenital bronchial atresia often have recurrent pulmonary infections with various imaging findings. The aberrant vein may relate to interruption of the bronchus in a patient with partial anomalous pulmonary venous return. Although segmental resection is recommended for this benign disease, lobar resection may be unavoidable because of adhesions or destruction of adjacent segments.
一名35岁的女性高热,右肺有一个包含液体和气体的囊性病变。她被诊断为先天性支气管闭锁合并部分肺静脉异位引流导致的感染性支气管囊肿。她成功接受了右上叶切除术。先天性支气管闭锁患者常反复发生肺部感染,有各种影像学表现。在部分肺静脉异位引流的患者中,异常静脉可能与支气管中断有关。虽然对于这种良性疾病推荐行肺段切除术,但由于粘连或相邻肺段的破坏,肺叶切除术可能不可避免。