Alem Nora, Alsufiani Hamdi, Alsaadi Ali, Aljohani Saleha, Arkoubi Maher
Department of Pediatric Pulmonology, Children's Hospital, King Salman Medical City, Madinah, Saudi Arabia.
Department of Radiology, Children's Hospital, King Salman Medical City, Madinah, Saudi Arabia.
Respir Med Case Rep. 2022 May 5;37:101658. doi: 10.1016/j.rmcr.2022.101658. eCollection 2022.
The esophageal lung is a variant of the communicating bronchopulmonary foregut malformation (CBPFM). It needs a high index of suspicion for diagnosis because it is a rare condition and does not have specific symptoms. A CT scan or an esophageal contrast study, showing direct communication between the airways and the esophagus or stomach, confirms the diagnosis. Patients with esophageal lung need flexible bronchoscopy for evaluating tracheobronchial anomalies. We present a three-month-old boy with a right esophageal lung in which the CT virtual bronchoscopy showed an absence of the right main bronchus at the carina level. This case report highlights the importance of CT virtual bronchoscopy as an alternative to flexible bronchoscopy for the diagnosis of tracheobronchial anomalies associated with CBPFM.
食管肺是交通性支气管肺前肠畸形（CBPFM）的一种变异类型。因其较为罕见且无特异性症状，故诊断时需要高度怀疑。胸部CT扫描或食管造影检查显示气道与食管或胃之间存在直接相通，即可确诊。食管肺患者需要进行可弯曲支气管镜检查以评估气管支气管异常情况。我们报告一例3个月大的患有右食管肺的男婴，其CT虚拟支气管镜检查显示在隆突水平右主支气管缺如。本病例报告强调了CT虚拟支气管镜作为可弯曲支气管镜的替代方法在诊断与CBPFM相关的气管支气管异常中的重要性。
