気管支ポリープによる無気肺例

肺動脈形成不全症に合併した

抄録

A seven-year-old boy with cerebral palsy, funnel chest, and scoliosis was admitted for a recurrent left pulmonary atelectasis of unknown etiology. Repeated bronchoscopic examinations confirmed that the atelectasis was caused by bronchial polyps associated with foreign bodies (some kind of vegetable matter) in the bronchus. Gradual improvement of the atelectasis was brought about by removing the foreign bodies and curretting the bronchial polyps. This slow improvement necessitated further examinations including perfusion scanning of the lungs and pulmonary artery angiography. These examinations revealed that there was a congenital hypogenesis of the left pulmonary artery and a patent foramen ovale. After five months, satisfactory aeration of the left lung was evident on the radiographic examination. We wish to emphasize that when treating uncontrollable chronic pulmonary dysfunction, physicians should always keep in mind the possibility of a foreign body in the bronchus.