Uchida T, Oizumi H, Fujishima T, Yuki Y, Shimazaki Y
Second Department of Surgery, Yamagata University, School of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Apr;46(4):385-8. doi: 10.1007/BF03217760.
A 37-year-old woman presented severe cough for several years. Chest X-ray showed an abnormal shadow in the right upper lung field. That was absent but hyperlucent before onset. Chest CT scan revealed a mass shadow with mucoid impaction in the right S2. Thoracoscopic right upper lobectomy dramatically improved her complaints. Histological examination revealed the dilated bronchus containing mucoid impaction and confirmed a diagnosis of congenital bronchial atresia. It was suggested that organizing pneumonia resulting from repeated infection caused severe cough. Thoracoscopic surgery for congenital bronchial atresia should be recommended in young patients.