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成年女性右肺缺如一例报告

Agenesis of the right lung in an adult woman: A case report.

作者信息

Gonçalves Elias, Sachicola Ofélia, Estanislau Bartolomeu, Quifica Francisca, Morais Humberto, Arrais Margarete

机构信息

Serviço de Pneumologia Complexo Hospitalar de Doenças Cardiopulmonares, Cardeal Dom Alexandre do Nascimento Luanda Angola.

Centro de Estudos Avançados em Educação e Formação Médica, Faculdade de Medicina Agostinho Neto University Luanda Angola.

出版信息

Clin Case Rep. 2023 Oct 19;11(10):e8107. doi: 10.1002/ccr3.8107. eCollection 2023 Oct.

DOI:10.1002/ccr3.8107
PMID:37867534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10587648/
Abstract

KEY CLINICAL MESSAGE

Pulmonary agenesis is a rare congenital abnormality. Patients with hemithorax white-out on x-rays should be treated with caution, especially in resource-limited countries where chest CT and bronchofibroscopy are not available to confirm the diagnosis.

ABSTRACT

Pulmonary agenesis is an uncommon congenital abnormality defined by the complete absence of the lung parenchyma, as well as the bronchial and vascular structures. Right-sided pulmonary agenesis is less frequent, has a worse prognosis, and is usually associated with other congenital abnormalities. We reported the clinical case of a 31-year-old woman with right pulmonary agenesis, and no other congenital abnormalities, whose diagnosis was confirmed by thoracic computed tomography and bronchofibroscopy and who has a good prognosis.

摘要

关键临床信息

肺不发育是一种罕见的先天性异常。胸部X线显示半侧胸腔呈白色致密影的患者应谨慎处理,尤其是在资源有限、无法进行胸部CT和支气管纤维镜检查以确诊的国家。

摘要

肺不发育是一种罕见的先天性异常,其定义为肺实质、支气管和血管结构完全缺失。右侧肺不发育较为少见,预后较差,且通常与其他先天性异常相关。我们报告了一例31岁女性右侧肺不发育且无其他先天性异常的临床病例,其诊断经胸部计算机断层扫描和支气管纤维镜检查得以证实,预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c727/10587648/94b8376c13b4/CCR3-11-e8107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c727/10587648/c64695c12bb2/CCR3-11-e8107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c727/10587648/94b8376c13b4/CCR3-11-e8107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c727/10587648/c64695c12bb2/CCR3-11-e8107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c727/10587648/94b8376c13b4/CCR3-11-e8107-g002.jpg

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本文引用的文献

1
A rare variant of right sided pulmonary agenesis presenting in adulthood: 1 reported case from Bangladesh.成年期出现的罕见右侧肺不发育变异型:来自孟加拉国的1例报告病例。
Respir Med Case Rep. 2022 Mar 12;37:101629. doi: 10.1016/j.rmcr.2022.101629. eCollection 2022.
2
Late diagnosis of pulmonary agenesis.肺不发育的迟诊。
BMJ Case Rep. 2021 Oct 27;14(10):e245233. doi: 10.1136/bcr-2021-245233.
3
An adult patient presenting with right unilateral pulmonary agenesis: a case report and literature review.成人单侧右肺发育不全患者 1 例报告并文献复习
Surg Radiol Anat. 2020 Nov;42(11):1299-1301. doi: 10.1007/s00276-020-02467-x. Epub 2020 Apr 7.
4
Developmental lung anomalies in adults: A pictorial review.成人肺发育畸形:影像学综述。
Respir Med. 2019 Aug;155:86-96. doi: 10.1016/j.rmed.2019.07.011. Epub 2019 Jul 11.
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Adult presentation of asymptomatic right lung agenesis: a rare anatomical variation.成人无症状性右肺发育不全的表现:一种罕见的解剖变异
Surg Radiol Anat. 2019 Feb;41(2):247-249. doi: 10.1007/s00276-018-2130-1. Epub 2018 Nov 7.
6
Left Pulmonary Agenesis with Right Lung Bronchiectasis in an Adult.成人左肺发育不全合并右肺支气管扩张
J Clin Diagn Res. 2016 Sep;10(9):OD15-OD17. doi: 10.7860/JCDR/2016/21623.8547. Epub 2016 Sep 1.
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Unilateral pulmonary agenesis presenting in adulthood.成年期出现的单侧肺发育不全。
Respir Med Case Rep. 2012;5:81-3. doi: 10.1016/j.rmedc.2011.05.003. Epub 2011 Aug 10.
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Unilateral right pulmonary agenesis in adulthood.成人单侧右肺发育不全
J Clin Diagn Res. 2014 Jun;8(6):RD01-2. doi: 10.7860/JCDR/2014/7968.4420. Epub 2014 Jun 20.
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Congenital pulmonary malformations in pediatric patients: review and update on etiology, classification, and imaging findings.小儿先天性肺畸形:病因、分类及影像学表现的综述与更新
Radiol Clin North Am. 2011 Sep;49(5):921-48. doi: 10.1016/j.rcl.2011.06.009.
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Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology.气管支气管树、肺和纵隔的先天性异常:胚胎学、放射学和病理学
Radiographics. 2004 Jan-Feb;24(1):e17. doi: 10.1148/rg.e17. Epub 2003 Nov 10.