Case of missing left lung

Ali Cheraghvandi1, Saeid Fallah Tafti1, Firouzeh Talischi1

  • 1Pulmonary Health Care and Nursing Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Masih Daneshvari Hospital, DarAbad, Tehran 1955841452, Iran.

Insights

A young female with a congenital missing left lung experienced no major complications into adulthood. Bronchoscopy was crucial for diagnosing recurrent pulmonary infections in this unique case.

Area of Science:

  • Pulmonology
  • Pediatric Medicine
  • Congenital Abnormalities

Background:

  • The human lungs possess remarkable regenerative and growth capabilities during childhood.
  • Congenital conditions affecting lung development, such as unilateral lung agenesis, can present unique clinical challenges.
  • Recurrent pulmonary infections necessitate accurate diagnosis for effective management.

Purpose of the Study:

  • To present a case study of a young female with congenital absence of the left lung.
  • To highlight the long-term implications and management of unilateral lung agenesis.
  • To emphasize the diagnostic utility of bronchoscopy in recurrent pulmonary infections.

Main Methods:

  • Case report detailing a young female patient's medical history.
  • Review of diagnostic procedures, including bronchoscopy.
  • Analysis of clinical course from childhood to adulthood.

Main Results:

  • The patient, born with a missing left lung, remained free of major complications into adulthood.
  • Recurrent upper respiratory infections were noted.
  • Bronchoscopy provided a definitive diagnosis for the recurrent pulmonary issues.

Conclusions:

  • Unilateral lung agenesis can be compatible with a relatively uncomplicated adult life.
  • Early and accurate diagnosis of pulmonary infections is vital, especially in patients with congenital lung anomalies.
  • Bronchoscopy serves as an essential diagnostic tool for complex respiratory conditions.

Related Concept Videos

Gross Anatomy of the Lungs01:17

Gross Anatomy of the Lungs

The lungs are a pair of vital organs connected to the trachea via the left and right bronchi. The base of these organs meets the dome-shaped muscle known as the diaphragm. Encased by the pleurae, the lungs contact the mediastinum. The right lung is shorter yet wider, and has a larger volume than the left lung. The left lung has an indentation known as the cardiac notch. The superior region of the lungs is referred to as the apex, whereas the base is the lower region near the diaphragm. The...
6.5K
Pleura of the Lungs01:13

Pleura of the Lungs

The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
10.7K
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
1.5K
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.1K
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
5.1K
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
1.2K