A Case of Congenital Agenesis of the Right Lung with Dextrorotation of Heart

Lee, Eun Lyoung; Han, Kyung Suk; Shin, Gil Ja; Lee, Woo Hyung; Suh, Jeong Soo; Lee, Doo Yun

doi:1985.32.3.198

Tuberc Respir Dis > Volume 32(3); 1985 > Article

Case report

Tuberculosis and Respiratory Diseases 1985;32(3):198-202.
DOI: https://doi.org/10.4046/trd.1985.32.3.198 Published online September 1, 1985.

A Case of Congenital Agenesis of the Right Lung with Dextrorotation of Heart

Eun Lyoung Lee¹, Kyung Suk Han¹, Gil Ja Shin¹, Woo Hyung Lee¹, Jeong Soo Suh², Doo Yun Lee³

¹Department of Internal Medicine, College of Medicine, Ewha Woma University, Seoul, Korea
²Department of Radiology, College of Medicine, Ewha Woma University, Seoul, Korea
³Department of Thoracic Surgery, College of Medicine, Ewha Woma University, Seoul, Korea

심장의 우측변위를 동반한 선천성 일측폐발육 부전증(우측) 1예 보고

이은령¹, 한경숙¹, 신길자¹, 이우형¹, 서정수², 이두연³

Abstract

A case of congenital agenlesis of the right lung of a 16-year-old male is presented in detail with some review on literature. He had been well until 1 year ago, when mild exertional dyspnea developed. But he neglected. From 1 month earlier, productive coughing and fever were associated. So he visited local clinic and πas transferred to our hospital under the impression of pleurisy of right chest. His past history and family history were not contributory. Physical examination revealed. asymmetrical development of thoracic cage and slight limitation of respiratory movement on the right. There were dullness on percussion and absence of breathing sounds over entire lung field, except upper portion of the right chest. The cardiac dullness was shifted to the right and the heart sounds were heard at the right 3rd intercostal space, mid clavicular line. A roentgenogram of the chest reγealed shifting to the right of trachea and mediastinum, dence homogeneous densities on entire right chest and hyperlucency on the left lung with herniation to the upper por t ion of the right chest. Bronchoscopy revealed total obstruction of right main bronchus with granulation tissue. Bronchogram revealed the right main bronchus was ended with a blind pouch 0.5 cm below the carina, but left main bronchus and its trees were intact. Pulmonary angiogram showed non-visualization of the right pulmonary artery and 180 º counterclockwise rotation of the heart. Pulmonary function test disclosed decreased vital capacity and maximal breathing capacity. The patient was treated by antibiotics with good response.

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