Poudel Sharma, Bhusal Amrit, Yadav Aalok Kumar, Yadav Santoshi, Yogi Tek Nath
Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Radio-Diagnostics and Imaging, BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Radiol Case Rep. 2024 Nov 4;20(1):515-520. doi: 10.1016/j.radcr.2024.10.023. eCollection 2025 Jan.
Poland syndrome (PS) is a rare congenital condition characterized by the developmental anomaly of the chest wall, and classically presents with ipsilateral agenesis/hypoplasia of sternocostal head of pectoralis major which remains as the essential feature of the condition. It may or may not be associated with ipsilateral limb abnormalities. Diagnosis is mainly clinical. Imaging modalities like chest X-Ray, CT chest, US, and 3D-VRT CT can be used to know about the extent of involvement of this anomaly. We hereby present a case of a 25-year-old male who visited our hospital with chief complaint of poor development of right-sided chest wall, who was later diagnosed with right-sided Poland syndrome with no classical hand deformity. Every physician must put a differential diagnosis of PS in the back of mind while dealing with the case of poor development of chest wall.
波兰综合征（PS）是一种罕见的先天性疾病，其特征为胸壁发育异常，典型表现为同侧胸大肌胸肋头发育不全/发育不良，这仍是该疾病的基本特征。它可能与同侧肢体异常有关，也可能无关。诊断主要依靠临床。胸部X光、胸部CT、超声和三维容积重建CT等影像学检查手段可用于了解该异常的累及范围。我们在此报告一例25岁男性患者，因右侧胸壁发育不良为主诉前来我院就诊，后来被诊断为右侧波兰综合征，无典型手部畸形。每位医生在处理胸壁发育不良病例时都应将波兰综合征的鉴别诊断牢记于心。
