Katayama Akira, Sato Jiro, Kano Yosuke, Mise Yoko, Suzuki Satoshi, Abe Osamu
Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Department of Radiology, Tokyo Metropolitan Police Hospital, 4-22-1 Nakano, Nakano-ku, Tokyo, 164-8541, Japan.
Radiol Case Rep. 2022 Jul 27;17(10):3501-3503. doi: 10.1016/j.radcr.2022.06.072. eCollection 2022 Oct.
A displaced left upper bronchus is a rare anomaly. We report the case of a 45-year-old man with a displaced bronchus, branching from the left main bronchus and bifurcating into the apicoposterior and anterior segment bronchi of the left upper lobe. The displaced bronchus passed behind the left pulmonary artery. To our knowledge, 12 similar cases of displaced bronchi have been reported to date. Displaced bronchi are difficult to detect prospectively on computed tomography. However, evaluating the accessory fissures may help establish an accurate diagnosis.
左上支气管移位是一种罕见的异常情况。我们报告一例45岁男性患者,其支气管移位,该支气管从左主支气管分出,再分为左肺上叶的尖后段支气管和前段支气管。移位的支气管走行于左肺动脉后方。据我们所知,迄今为止已报道了12例类似的支气管移位病例。在计算机断层扫描上,移位的支气管很难前瞻性地检测到。然而,评估副裂可能有助于做出准确诊断。