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Prenatal diagnosis and management of congenital bronchial stenosis or atresia: 4 cases. 364-6Medline . A nivel hiliar izquierdo y, justo encima de la salida del bronquio del lbulo superior izquierdo, se aprecia una imagen seudonodular de 2 cm de dimetro. La hiperlucidez es el resultado de la asociacin de la oligohemia y un incremento del volumen de aire en el parnquima afectado. 2012; 9(3): 207212.

Identification of a blind-ending bronchus by fibroscopy was also helpful in CBA diagnosis 16,17.Pathological Diagnosis A proximal blind-ending bronchus with associated dilated distal segmental bronchi encased by hyperinflated lung parenchyma is diagnostic.Differential Diagnosis Differential diagnoses include vascular anomalies or other abnormalities with mucus impaction, such as bronchial cyst, pulmonary embolism, bronchiectasis, or intralobar sequestration. 2008;63(9):9951005. Figura 2.TC pulmonar en la cual se evidencia en los cortes pulmonares altos la hiperclaridad pulmonar con disminucin de la vascularizacin, que afecta al lbulo superior izquierdo. Lobar emphysema of infancy: diagnosis, treatment, and etiological aspects-collective review. Riedlinger et al demonstrated that bronchial atresia and congenital cystic adenomatoid malformation nearly always coexist 9. [PubMed]10.

Congenital bronchial atresia - Presentationof three cases and a pictorial review. Atlas of nontumor pathology: non-neoplastic disorders of the lower respiratory tract. Contrast-enhanced CT and reconstructed CT images are useful in identification. J Thorac Surg. El estudio de la funcin pulmonar tuvo un resultado normal, con volumen espiratorio mximo en el primer segundo (FEV1) del 85,1 %, capacidad vital mxima (FVC) de 79,9 % y FEV1/FVC de 105,1 %.

Among the 12 patients in our series, three were diagnosed pathologically after operation, even though the preoperative diagnosis was a malignant disease. The septa were thin, fine, and interconnected with one another, a finding indicative of lobar hyperinflation; in some cases, inflammatory infiltrate was observed on the lung parenchyma (Fig. Conflict of Interest: The authors have declared that no conflict of interest exists.Author information Article notes Copyright and License information Received 2011 Oct 22; Accepted 2012 Feb 22.Copyright Ivyspring International Publisher. In our study, CBA was involved the right lobe in 8 patients and the left lobe in the remaining 4.Bronchofibroscopic diagnosisAll 12 patients in our study underwent bronchofibroscopic examination. B, normal structure from bronchoscopic examination.Pathological resultsSeven patients underwent an operation, five underwent lobectomy, and two underwent local resection. Aunque la atresia bronquial congnita es un hallazgo aislado, se ha descrito asociada a diversas malformaciones pulmonares, defectos pericrdicos, retorno venoso pulmonar anmalo y, recientemente, con arteria pulmonar derecha epibronquial y arteria pulmonar media derecha aberrante, etc.8.Los hallazgos radiolgicos pueden mostrar una masa hiliar en el 89 % de los casos (6), un rea de hiperlucidez pulmonar en el 67 %6 o una asociacin de ambos en el 67 %6. 2009;36(1):2224..

[PubMed]16. Chest CT is the procedure of choice for diagnosis. 217-20Medline9Pugatch RD,Gale ME.Obscure pulmonary masses: Bronchial impaction revealed by CT.AJR Am J Roentgenol, 141 (1983), pp. Modern imaging of the tracheo-bronchial tree. 227-9Medline12McAlister WH,Wright JR Jr,Crane JP.Main-stem bronchial atresia: Intrauterine sonographic diagnosis.AJR Am J Roentgenol, 148 (1987), pp. 2006;40(1):6871.13. Totally endoscopic lobectomy and segmentectomy for congenital bronchial atresia. Clin Radiol. Congenital cystic adenomatoid malformation of the lung associated with bronchial atresia involving a different lobe in an adult patient: a case report. Similarly, Raynor et al 7 reported cases of secondary bronchial atresia caused by the presence of a mucosal flap, hypertrophy of bronchial mucosa, bronchial kinking secondary to herniation, or external compression of bronchi by abnormal vascular formation, such as patent ductus arteriosus and aneurysm of a pulmonary vein.PathologyPathological diagnosis is based on gross morphological analysis of the resected lung specimen. 5d80d7912b

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