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Pulmonary agenesis: A case report with review of literature
Mir Sumsam Ali Khurram1, Sundari Pratap Rao1, Akkena Vamshipriya1
1Department of Paediatrics, Deccan College of Medical Sciences, Hyderabad, India.
Insights
Congenital pulmonary agenesis, a rare lung malformation, presents diagnostic challenges. This case highlights computed tomography
Area of Science:
- Pediatric Pulmonology
- Medical Imaging
- Rare Diseases
Background:
- Congenital pulmonary agenesis is a rare congenital lung malformation with significant diagnostic challenges.
- Mortality rates are high, with over 50% of affected children dying before age five, though some may remain asymptomatic.
- Early and accurate diagnosis is crucial for potential intervention and management.
Purpose of the Study:
- To report a case of congenital right pulmonary agenesis in a young infant.
- To emphasize the diagnostic utility of computed tomography (CT) in identifying this rare condition.
- To highlight the presentation of severe respiratory distress in affected infants.
Main Methods:
- Case report of a two-month-old male infant.
- Clinical presentation included severe respiratory distress.
- Diagnosis confirmed using computed tomography (CT) of the chest.
Main Results:
- Computed tomography imaging successfully identified right pulmonary agenesis.
- The infant presented with acute, severe respiratory distress necessitating prompt diagnosis.
- The findings underscore CT's role in visualizing pulmonary malformations.
Conclusions:
- Congenital pulmonary agenesis requires advanced imaging for definitive diagnosis.
- Computed tomography is essential for diagnosing pulmonary agenesis in infants with respiratory distress.
- Timely diagnosis can inform management strategies for this rare condition.
Abstract:
Congenital pulmonary agenesis is a rare condition which poses diagnostic difficulties. More than 50% of these patients die before the first five years of life. Few patients may remain asymptomatic throughout their life. We report a case of a two month old male infant with right pulmonary agenesis who presented with severe respiratory distress in whom a diagnosis was made following computed tomography of the chest.
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