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Congenital Bi-segmental Bronchial Atresia with Areas of Congenital Pulmonary Airway Malformation
Atresia bronquial bisegmentaria congénita acompañada de áreas de malformación congénita de las vías respiratorias pulmonares
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"nombre" => "Zuhal" "apellidos" => "Bayramoglu" "email" => array:1 [ 0 => "incezuhal@yahoo.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Emine" "apellidos" => "Caliskan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Emine Dilek" "apellidos" => "Yilmazbayhan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Fatih 34093, Istanbul, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Pathology, Istanbul Faculty of Medicine, Istanbul University, Fatih 34093, Istanbul, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Atresia bronquial bisegmentaria congénita acompañada de áreas de malformación congénita de las vías respiratorias pulmonares" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 782 "Ancho" => 1700 "Tamanyo" => 233600 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Contrast-enhanced, coronal plane, chest computed tomography. Closed arrows show mucoceles and black arrows show air-trapped segments. (B) Haematoxylin–eosin, ×100 magnification. The air trapping areas (open arrow) and mucocele (asterix), confirming bronchial atresia. (C) Haematoxylin–eosin, ×400 magnification. CPAM areas (closed arrow) showed by respiratory epithelial lined cysts and a thin fibromuscular layer in the cyst wall.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 2 year-old girl presented with a 6-month history of recurrent airway infections. On anteroposterior chest X-ray, focal radiolucent areas were seen in both the upper zone and paracardiac region of the left lung. On contrast-enhanced chest computed tomography, central mucocele formations were observed in the left perihilar region, together with bi-segmental air trapping and oligaemia, suggestive of bi-segmental bronchial atresia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The patient underwent bi-segmentectomy. The histopathology report included mucocele formations and emphysematous changes confirming bronchial atresia, together with respiratory epithelial lined cysts and a thin fibromuscular layer in the cyst wall, suggesting areas of focal congenital pulmonary airway malformation (CPAM) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">CPAM areas within bi-segmental bronchial atresia is an extremely interesting presentation.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> To the best of our knowledge, this is the first such case reported in the literature. This case is an example of type 4 CPAM that is generally part of the differential diagnosis of focal air-trapping. CPAM is associated with increased incidence of pulmonary malignancy in addition to pulmonary and extrapulmonary malformations. Pleuropulmonary blastoma, bronchioloalveolar carcinoma and rhabdomyosarcoma are the most common malignancies associated with CPAM.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> The presence of CPAM areas within bi-segmental bronchial atresia requires long-term follow-up due to the increased risk of malignancy.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 782 "Ancho" => 1700 "Tamanyo" => 233600 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Contrast-enhanced, coronal plane, chest computed tomography. Closed arrows show mucoceles and black arrows show air-trapped segments. (B) Haematoxylin–eosin, ×100 magnification. The air trapping areas (open arrow) and mucocele (asterix), confirming bronchial atresia. (C) Haematoxylin–eosin, ×400 magnification. CPAM areas (closed arrow) showed by respiratory epithelial lined cysts and a thin fibromuscular layer in the cyst wall.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Pediatric chest imaging" "paginaInicial" => "204" "paginaFinal" => "205" "edicion" => "3rd edition" "serieFecha" => "2014" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prenatal and postnatal management of congenital pulmonary airway malformation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. David" 1 => "R. Lamas-Pinheiro" 2 => "T. Henriques-Coelho" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000440894" "Revista" => array:6 [ "tituloSerie" => "Neonatology" "fecha" => "2016" "volumen" => "110" "paginaInicial" => "101" "paginaFinal" => "115" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27070354" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005300000009/v2_201708291404/S0300289617300546/v2_201708291404/en/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005300000009/v2_201708291404/S0300289617300546/v2_201708291404/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300546?idApp=UINPBA00003Z" ]
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