気管支性嚢腫を合併した気管支閉鎖症の1例 : 先天性気管支閉鎖症の38報告例の検討

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This paper presented a 4-year-old boy suffering from congenital bronchial atresia of the anterior and apico-posterior segments of the left upper lobe with a bronchogenic cyst. Our case had a mass-like atelectatic shadow of the left upper lung field on a plain chest radiograph and was not associated with the occurence of localized emphysema as well as an abnormal hilus shadow representing the mucous-filled blind bronchial stump. The diagnosis was established by a bronchogram which showed a filling defect in the affected part of the lung. On the aortogram, there was no abnormal vessels from the thoracic aorta into the mass-like shadoow. A left upper lobectomy with the bronchogenic cyst was performed. Several dilatated bronchi in the resected specimens showed an appearance of bronchial mucocele which contained a plenty of yellow mucous fluid. Bronchial atresia with a bronchogenic cystwas very rare, which was interesting in relation to congenital bronchial atresia. In addition to the report of bur case, we discussed about the review of 38 cases from the literetures.
日本小児外科学会の論文
1982-04-20