Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Congenital hernia of the lung through the azygoesophageal recess

Azygoesophageal recess를 통한 선천 폐탈장

  • Choi, Young Seok (Department of Pediatrics, Chonnam National University Medical School) ;
  • Son, Young Jun (Department of Pediatrics, Chonnam National University Medical School) ;
  • Bae, Si Young (Department of Pediatrics, Chonnam National University Medical School) ;
  • Min, Kyung Sun (Department of Pediatrics, Chonnam National University Medical School) ;
  • Cho, Young Kuk (Department of Pediatrics, Chonnam National University Medical School) ;
  • Choi, Woo Yeon (Department of Pediatrics, Chonnam National University Medical School) ;
  • Choi, Young Youn (Department of Pediatrics, Chonnam National University Medical School) ;
  • Ma, Jae Sook (Department of Pediatrics, Chonnam National University Medical School) ;
  • Hwang, Tai Ju (Department of Pediatrics, Chonnam National University Medical School)
  • 최영석 (전남대학교 의과대학 소아과학교실) ;
  • 손영준 (전남대학교 의과대학 소아과학교실) ;
  • 배시영 (전남대학교 의과대학 소아과학교실) ;
  • 민경선 (전남대학교 의과대학 소아과학교실) ;
  • 조영국 (전남대학교 의과대학 소아과학교실) ;
  • 최우연 (전남대학교 의과대학 소아과학교실) ;
  • 최영륜 (전남대학교 의과대학 소아과학교실) ;
  • 마재숙 (전남대학교 의과대학 소아과학교실) ;
  • 황태주 (전남대학교 의과대학 소아과학교실)
  • Received : 2008.03.11
  • Accepted : 2008.08.18
  • Published : 2008.10.15
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Abstract

A lung hernia, defined as the protrusion of pulmonary tissue and pleural membranes through a defect in the thoracic wall, is a rare event. It can be congenital or acquired, and cervical, thoracic, or diaphragmatic in location. We report the rare occurrence of a congenital atraumatic lung herniation through the azygoesophageal recess. An 8-month-old male infant, who was born at 35 weeks gestation, had a chronic cough. Chest radiography showed haziness at the right lower lobe of the lung (RLL). Chest computed tomography (CT) revealed herniation of the RLL through the azygoesophageal recess. If persistent unilateral haziness is observed on chest radiography, the possibility of lung herniation should be considered.

폐조직과 흉막의 흉곽의 결손 부위를 통한 돌출로 정의되는 폐탈장은 선천성 또는 후천적일수도 있으며 부위별로 경부, 흉부, 횡경막 탈장이 있다. 8개월된 남아가 4개월간의 지속적인 기침과 흉부 방사선 촬영에서 폐우하엽의 지속적인 음영 증가소견 있어 시행한 흉부 전산화 단층촬영에서 azygoesophageal recess를 통한 폐탈장이 관찰되었다. 아직까지 보고된 적이 없는 azygoesophageal recess를 통한 폐탈장이 저자들에 관찰하게 되어 보고하는 바이다.

Keywords

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