A surgical case of bronchial atresia with obstructive pneumonia

Abstract

We report a case of bronchial atresia. A 56-year-old woman with a long-lasting cough showed an infiltrative shadow in her left upper lung field on a chest radiograph. The patient was referred to our hospital for further examination and treatment. Chest CT showed atelectasis and mucoid impaction in segment¹⁺² of the left lung and B¹⁺² obstruction with calcification. Bronchofiberscopy showed the superior division bronchial obstruction and narrowing of the lingular-bronchus. The patient underwent left upper lobectomy with a diagnosis of bronchial atresia with repeated obstructive pneumonia. We could not clarify the definite cause of the bronchial obstruction. Despite being a benign disease, bronchial atresia with clinical symptoms should be treated surgically.