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从偶然发现到诊断:成人无症状先天性肺叶气肿的表现

From incidental findings to diagnosis: Adult presentation of asymptomatic congenital lobar emphysema.

作者信息

Jalli Reza, Fallahi Mohammad Javad, Dehghani Seyed Sina

机构信息

Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Pulmonology Division, Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Respir Med Case Rep. 2025 May 14;56:102231. doi: 10.1016/j.rmcr.2025.102231. eCollection 2025.

Abstract

Congenital lobar emphysema (CLE) is a rare congenital lung anomaly that is typically diagnosed in infancy. Adult presentations are exceptionally uncommon, and most cases are discovered incidentally during imaging for unrelated conditions. We present two cases of CLE diagnosed in asymptomatic adults, emphasizing the critical role of imaging in diagnosis and outlining the considerations for conservative management. These cases contribute to the understanding of CLE in adult patients.

摘要

先天性大叶性肺气肿(CLE)是一种罕见的先天性肺部异常,通常在婴儿期被诊断出来。成人病例极为罕见,大多数病例是在因其他无关疾病进行影像学检查时偶然发现的。我们报告两例在无症状成年人中诊断出的CLE病例,强调影像学在诊断中的关键作用,并概述保守治疗的注意事项。这些病例有助于加深对成年患者CLE的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a412/12149564/a670158168d5/gr1.jpg

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