Abstract
A child with the complaint of dyspnea was followed from birth emphysematous change in the right upper field and a cyst with air-fluid level increased progressively on serial chest films. Bronchography and bronchofiberscopy at one year of age demonstrated atresia of the right upper bronchus when the patient 17 months old, lobectomy was performed. The resected lobe had a bronchogenic cyst 2cm in diameter, and the histology of the distal parts of the resected lobe showed that of congenital cystic adenomatoid malformation.
A review of 70 cases in the literature indicated that most children who suffer from bronchial atresia complain respiratory symptoms, and some of them had other combined pulmonary lesions such as bronchogenic cyst, cystic adenomatoid malformation and lobar emphysema, though adult patients, for the most part, had no clinical complaints.
