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Placental Transmogrification of the Lung

  • Kim, Jin Woo (Department of Radiology, Yonsei University Wonju College of Medicine) ;
  • Park, Il Hwan (Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine) ;
  • Kwon, Woocheol (Department of Radiology, Yonsei University Wonju College of Medicine) ;
  • Eom, Min Seob (Department of Pathology, Yonsei University Wonju College of Medicine) ;
  • Kim, Young Ju (Department of Radiology, Yonsei University Wonju College of Medicine) ;
  • Oh, Joong Hwan (Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine)
  • Received : 2012.11.30
  • Accepted : 2013.08.04
  • Published : 2013.11.01

Abstract

Placental transmogrification is a very rare lung disease, where the alveoli resemble the chorionic villi of placenta, and this change is a characteristic finding. A 31-year-old female patient presented with cough and dyspnea that had begun 2 weeks prior to admission. Along with giant bulla found in the left upper lung field, subsegmental consolidation was also identified in the lingular segment on plain chest radiograph and CT scan. Wedge resection was performed to remove the bulla. Pathologic examination of the resected bulla revealed destruction of the normal structures and characteristic villous and papillary changes. These changes led to a diagnosis of placental transmogrification. We made an encounter of an unusual placental transmogrification which had different image findings from other reported transmogrification cases. Thus, we report an atypical placental transmogrification case where both consolidation and giant bulla coexist.

Keywords

References

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