先天性左上葉気管支閉鎖症に対する区域切除術

Segmentectomy for Congenital Left Upper Lobar Bronchial Atresia

気管支閉鎖症は比較的まれな疾患である．幼少期に発見されることも多いが，成人してから発見される場合もある．われわれは，成人後に発見された先天性左上葉気管支閉鎖症を経験したので報告する．

A 22-year-old woman visited a hospital to treat her dyspnea which had lasted for some months. Chest X-ray showed hyperlucency in her left upper lung field and chest computed tomography suggested left upper bronchial obstruction with mucoid impaction. She was referred to our hospital for further examination and treatment. Bronchoscopy showed left upper lobar bronchial atresia. Considering her dyspnea worsened in relatively short terms, surgical treatment was chosen and the resection of left upper division was successfully performed.