Abstract
Pulmonary hypoplasia is an uncommon congenital anomaly. A case reported in a six year old male child from Bangladesh who presented with chronic dry cough, episodic fever and occasional haemoptysis causing confusion with tuberculosis. X-ray suggested lung collapse. Final diagnosis reached by combined bronchoscopy, computed tomogram scan of chest and pulmonary angiogram. In a child with complete radiological lung collapse possibility of pulmonary hypoplasia should be kept in mind.
Highlights
Congenital pulmonary anomalies are rare in practice
Computed tomogram (CT) scan showed marked thorasic asymmetry and herniation of right lung to left hemithorax with heart placed at extreme left of chest cavity
A heterogenous soft tissue density was located behind heart in lower part of left hemithorax
Summary
Congenital pulmonary anomalies are rare in practice. Pulmonary hypoplasia a condition in which there is reduction in number or size of important intrapulmonary structures like bronchi and its branches, vascular territories and alveoli.[1]. Secondary cases in 60% show fetal or maternal abnormality, rests include intrathorasic mass lesion or chest wall deformities.[2] The condition may be accompanied by congenital abnormalities involving other organs. X-ray revealed an opaque left hemithorax with shift of mediastinum to left suggesting total lung collapse (Figure 2).
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