Arch Dis Child Fetal Neonatal Ed 2001;84:F197
( May )
Images in neonatal medicine
An unusual cause of respiratory distress: unilateral pulmonary
agenesis
S GÜVEN, Y KOYUTÜRK
Department of Pediatrics, Beykoz State Hospital, Istanbul,
Turkey
A CERRAH CELAYIR
Department of Pediatric Surgery, Zeynep Kamil Maternal and Child
Hospital, Turkey scelayir@escortnet.com
L KARADENIZ
Department of Pediatrics, Zeynep Kamil Maternal and Child
Hospital, Turkey
S ÇELIKOGLU
Cerrahpa
a Medical Faculty, University of Istanbul,
Istanbul, Turkey
| The first 150 words of the full text of this article appear below. |
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Article |
A 7 year old boy was
admitted with severe respiratory distress. A chest
x ray film showed diffuse opacity of the
right hemithorax and a slightly overdistended left lung with patchy
infiltrates; the cardiac silhouette was shifted to the right (fig 1).
Despite treatment with intravenous antibiotics, inhaler steroids, and bronchodilators, the patient's radiograph did not clear. A flexible bronchoscopy was carried out to determine whether a foreign body had
been aspirated. The right bronchus was narrow and the catheter could
not be passed into it (fig 2). Right pulmonary agenesis was therefore
considered. No right pulmonary artery and vein or any lung tissue on
the right was visualised at pulmonary angiography (fig
3).
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In the presence of an opaque hemithorax with ipsilateral
cardiomediastinal shift and an intact diaphragm on the radiograph, pulmonary agenesis should always be considered in the differential diagnosis, which includes diaphragmatic hernia, adenomatoid cystic . . . [Full text of this article]
