Left Lung and Pulmonary Artery Hypoplasia: A Rare Case of Hemoptysis
  • Guiomar Pinheiro
    Internal Medicine Department, Centro Hospitalar Universitário do Porto, Porto, Portugal http://orcid.org/0000-0003-1497-1054
  • Ana Margarida Alves
    Radiology Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Isabel Neves
    Internal Medicine Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
  • Teresa Sequeira
    Internal Medicine Department, Centro Hospitalar Universitário do Porto, Porto, Portugal

Keywords

Radiology, respiratory medicine, congenital disorders, lung hypoplasia, pulmonary artery agenesis, pulmonary artery hypoplasia, hemoptysis

Abstract

Pulmonary hypoplasia or agenesis is a rare congenital disorder that results in lung underdevelopment. This disease is usually found in children but rarely encountered in adults. We describe the case of an 84-year-old woman diagnosed with a unilateral pulmonary hypoplasia presenting simultaneously with left pulmonary artery hypoplasia. Due to this condition, the patient had a lifelong history of pulmonary infections that resulted in several bronchiectases in the affected lung. Moreover, the pulmonary artery hypoplasia led to the development of pulmonary hypertension and collateral circulation causing hemoptysis, giving rise to the patient attending the emergency department. Although we were able to medically manage the hemoptysis, it can be fatal and require surgical intervention. Hence, an early diagnosis is essential so that appropriate follow-up and prompt prevention and treatment of complications, such as pulmonary infections, hemoptysis and pulmonary hypertension, are achieved.

VIEW THE ENTIRE ARTICLE

References

  • Georgescu A, Nuta C, Bondari S. 3D imaging in unilateral primary pulmonary hypoplasia in an adult: a case report. Case Reports in Radiology 2011:659586.

  • Kant S. Unilateral pulmonary hypoplasia – a case report. Lung India 2007;24(2):69–71.

  • Albay S, Cankal F, Tunali S, Ozan H. Unilateral pulmonary hypoplasia. Int J Anat Var 2008;1:23–25.

  • Mirchandani LV, Alam A, Iyer A, Kutty JT. Rare case of unilateral hypoplasia of lung with associated ventricular mass in an adult. J Clin Diagn Res 2016;10(7):5–7.

  • Katsenos S, Antonogiannaki EM, Tsintiris K. Unilateral primary lung hypoplasia diagnosed in adulthood. Resp Care 2014;59(4):e47–e50.
  • Views: 835
    HTML downloads: 863
    PDF downloads: 437


    Published: 2020-04-30
    Issue: 2020: Vol 7 No 7 (view)


    How to cite:
    1.
    Pinheiro G, Alves AM, Neves I, Sequeira T. Left Lung and Pulmonary Artery Hypoplasia: A Rare Case of Hemoptysis. EJCRIM 2020;7 doi:10.12890/2020_001490.

    Most read articles by the same author(s)