Tuberculosis and Respiratory Diseases

  • 제56권4호
  • /
  • Pages.343-347
  • /
  • 2004
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

선천성 기관지 폐쇄증

Congenital Bronchial Atresia

  • 최요원 (한양대학교 의과대학 진단방사선과학교실) ;
  • 윤호주 (한양대학교 의과대학 호흡기내과학교실) ;
  • 신동호 (한양대학교 의과대학 호흡기내과학교실) ;
  • 박성수 (한양대학교 의과대학 호흡기내과학교실)
  • Choi, Yo Won (Department of Diagnostic Radiology, Hanyang University College of Medicine) ;
  • Yoon, Ho Joo (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Dong Ho (Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Sung Soo (Department of Internal Medicine, Hanyang University College of Medicine)
  • 발행 : 2004.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

선천성 기관지 폐쇄증은 단순촬영에서 폐 결절로 보여 악성 종양으로 오인될 수 있다. 그러나 흉부단순촬영과 특히 전산화단층촬영에서는 늘어난 기관지 내의 점액고착, 구역 과팽창 등이 특징적으로 보여 더 이상의 침습적 검사 없이 선천성 기관지 폐쇄증으로 진단할 수 있다.

Congenital bronchial atresia is a rare anomaly, which results from a congenital focal obliteration of a proximal segmental or subsegmental bronchus, with normal development of the distal structures. The short atretic segment leads to the accumulation of mucus within the distal bronchi, forming a bronchocele and air trapping of the alveoli supplied by these bronchi. The diagnostic CT features include the presence of a branching opacity and the bronchocele, which radiate from the hilum and are surrounded by an area of hyperlucency.

키워드

참고문헌

  1. Fraser RG, Pare JAP, Pare PD, Fraser RS, Genereux GP. Congenital bronchial atresia. In: Diagnosis of diseases of the chest. 3rd ed. Philadelphia: Saunders; 1989;721-2
  2. Meng RL, Jensik RJ, Faber LP, Matthew GR, Kittle CF. Bronchial atresia. Ann Thorac Surg 1978;25:184-92
  3. Matsushima H, Takayanagi N, Satoh M, Kurashima K, Kanauchi T, Hoshi T, et al. Congenital bronchial atresia: radiologic findings in nine patients. J Comput Assist Tomogr 2002;26:860-4
  4. Jederlinic PJ, Sicilian LS, Baigelman W, Gaensler EA. Congenital bronchial atresia: a report of 4 cases and a review of the literature. Medicine 1986;66:73-83
  5. Kinsella BD, Sissons G, Williams MP. The radiological imagings of bronchial atresia. Br J Radiol 1992;65:681-5
  6. Cohen AM, Solomon EH, Alfidi RJ. Computed tomography in bronchial atresia.Am J Roentgenol 1980;135:1097-9
  7. Remy-Jardin M, Remy J, Ribet M, Gosselin B. Bronchial atresia: diagnostic criteria and embryologic considerations. Diagn Intervent Radiol 1989;1:45-51
  8. Mata JM, Caceres J, Lucaya J, Garcia-Conesa JA. CT of congenital malformation of the lung. RadioGraphics 1990;10:651-74
  9. Ward S, Morcos SK. Congenital bronchial atresia-presentation of three cases and a pictorial review. Clin Radiol 1999;54:144-8
  10. Caceres J, Mata J, Palmer J, Zidan A, Donoso L. General case of the day. RadioGraphics 1991;11:1143-5
  11. Scully RE, Galdabini JJ, McNeely BU. Hyper inflation of the left upper in a five-year-old boy. N Engl J Med 1979;301:829-35
  12. Zylak CJ, Eyler WR, Spizarny DL, Stone CH. Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics 2002;22:S25-43