Asymptomatic Atresia of the Lobar Bronchus of the Lung: A Case Report

Ryuichi Suemitsu, MD,1 Ichiro Yoshino, MD,1 Makiko Tomiyasu, MD,1 Satoru Fukuyama, MD,2 Hiroshi Koto, MD,2 and Keizo Sugimachi, MD1

A 64-year old woman presented with an asymptomatic occlusion of the intermediate bronchus associated with a peripheral mass occupying the entire middle and lower lobes. As malignancy was suspected, inferior bilobectomy was done. There was a complete atelectasis of both lobes, with massive parenchymal necrosis. Pathological examinations suggested a tuberculous granuloma in the bronchus and parenchyma although tuberculous bacilli were not found. This case was unusual as congenital anomaly, and was suspected as bronchial tuberculosis. (Ann Thorac Cardiovasc Surg 2001; 7: 301-303)

Key words: bronchial atresia, tuberculosis, aberrant vessel

From the 1Department of Surgery and Science, and 2 the Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

Received January 26, 2001; accepted for publication April 11, 2001
Address reprint requests to Ichiro Yoshino, MD: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan.