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KMID : 0383819850320030198
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Tuberculosis and Respiratory Diseases
1985 Volume.32 No. 3 p.198 ~ p.202
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A Case of Congenital Agenesis of the Right Lung with Dextrorotation of Heart
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이은령/Eun Lyoung Lee
한경숙/신길자/이우형/서정수/이두연/Kyung Suk Han/Gil Ja Shin/Woo Hyung Lee/Jeong Soo Suh/Doo Yun Lee
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Abstract
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A case of congenital agenesis of the right lung of a 16 year-old male is presented in
detail with some review on literature.
He had been well until 1 lear auto, when mild exertional dyspnea developed. But he
neglected. From 1 month earlier, productive coughing and fever were associated. So he
visited local clinic and was transferred to our hospital under the impression of Pleurisy
of right chest.
His past history and family history were not contributory
Physical examination revealed asymmetrical development of thoracic cage and slight
limitation of respiratory movement on the right. There were dullness on percussion and
absence of breathing sounds over entire lung field, except upper portion of the right
chest. The cardiac dullness was shifted to the right and the heart sounds were beard at
the right 3rd intercostal space, mid clavicular line.
A roentgenogram of the chest revealed shifting to tole right of trachea and
mediastinum, dance homogeneous densities on entire tight chest and hyperlucency on the
left lung with herniation to the upper portion of the right chest.
Bronchoscopy repealed total obstruction of right main bronchus with granulation
tissue.
Bronchogram revealed the right main bronchus was ended with a blind pouch 0.5㎝
below the carina, but left main bronchus and its trees were intact.
Pulmonary angiogram showed non-visualization of the right pulmonary artery and 18
0° counterclockwise rotation of the heart.
Pulmonary function test disclosed decreased vital capacity and maximal breathing
capa-city.
The patient was treated by antibiotics with good response.
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