ABSTRACT

Bronchial atresia is a rare pathology, which tends to be asymptomatic and incidental in the images of the thorax, and rarely it can compromise the life of those who suffer it. The diagnostic approach of the disease is made by radiography or scanography, where is possible to identify some important aspects in the differential diagnosis. According to the clinic spectrum and the risk of future complications, the bronchial atresia treatment is defined with modalities that range from conservative management to segmental resection, or wedge resection of the affected lung. We present three cases attended in the outpatient of pneumology, where most of them were detected incidentally.

KEYWORDS

Congenital anomaly, bronchial atresia, hyperinflation, mucocele.

REFERENCES

1. Higuchi R, Goto T, Nakagomi T, Oyama T. Surgery for congenital bronchial atresia. Asian Cardiovasc Thorac Ann 2018;26(6):485-488. doi: 10.1177/0218492318780805.

2. Acosta Gordillo L, Márquez Fernández J, Medina Gil MC, Carrasco Azcona MA, Andrés Martín A. [Asymptomatic congenital bronchial atresia in a 10-year-old boy]. An Pediatr Barc 2005;62(4):386-388.

3. Kozaki M, Iraha Y, Masamoto H, et al. Fetal congenital peripheral bronchial atresia diagnosed by magnetic resonance imaging: two case reports. AJP Rep 2018;8(4):e201-e205. doi: 10.1055/s-0038-1673620.

4. Watanabe T, Ohno M, Tahara K, et al. An investigation on clinical differences between congenital pulmonary airway malformation and bronchial atresia. J Pediatr Surg 2018;53(12):2390-2393. doi: 10.1016/j.jpedsurg.2018.08.031.

5. 5 Psathakis K, Lachanis S, Kotoulas C, et al. The prevalence of congenital bronchial atresia in males. Monaldi Arch Chest Dis 2004;61(1):28-34.

6. Gipson MG, Cummings KW, Hurth KM. Bronchial atresia. Radiographics 2009;29(5):1531-1535. doi: 10.1148/rg.295085239.

7. Karaman S, Deveci R, Erdem SB, Karkiner A, Alper H, Can D. Unusual radiological sign in bronchial atresia. Turk Thorac J 2016;17(2):79-81. doi: 10.5578/ttj.17.2.016.

8. Ariza Prota MA, Diez Jarilla JL, Prieto A, Pando Sandoval A, Casan P. Finger-in-glove sign in congenital bronchial atresia. Can Respir J 2015;22(5):255. doi: 10.1155/2015/323858.

9. Matsushima H, Takayanagi N, Satoh M, et al. Congenital bronchial atresia: radiologic findings in nine patients. J Comput Assist Tomogr 2002;26(5):860-864.