Right Lung Aplasia with Bronchial Asthma ,a rare case

Registration ID: IJNRD_186071

Published ID: IJNRD2301220

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M PRATHYUSHA , K PRASHANTH KUMAR , N USHA RANI , A SAI KUMAR

TITLE: Right Lung Aplasia with bronchial asthma , a rare case INSTITUTE : Department of Respiratory Medicine, Malla Reddy Institute Of Medical Sciences, Suraram, Hyderabad. AUTHORS : Dr. M .Prathyusha (Post graduate) , Dr. K. Prashanth Kumar( Assistant professor ), Dr. N. Usha Rani( Professor ) .Dr.A.Sai Kumar(Professor and Head of department ) INTRODUCTION: Pulmonary aplasia is a rare congenital anomaly with reported prevalence of 34 per ten lakh live births. Arrested development of primitive lung bud leads to anomalies of agenesis, aplasia and hypoplasia. Right lung agenesis/aplasia has dismal prognosis compared to left side due to frequent association with a gamut of other congenital anomalies and greater degree of mediastinal shift leading to tracheobronchial and vascular distortion. CASE REPORT: A 25 year old female patient presented with complaints of cough with expectoration and breathlessness since 2 months . H/o frequent wheezing was present and no H/o of fever, hemoptysis, chest pain . H/o similar complaints were present since 10 years . On examination, she was thinly built ,moderately nourished. Trachea and apex beat were markedly shifted to right side .Right side of chest was slightly retracted, vocal fremitus was decreased and there was dull note on percussion. . Breath sounds were absent over most of right lung field. Expiratory polyphonic rhonchi were heard over left lung . Examination of other systems was found to be normal . Chest x ray and HRCT showed right homogenous opacity with ipsilateral mediastinal shift. FOB revealed right main bronchus ending in a blind pouch abruptly and the scope could enter the 1cm wide pouch. 10 ml normal saline was instilled into the pouch and was almost completely aspirated. CONCLUSION The onset of symptoms in pulmonary agenesis/aplasia is remarkably variable. In many cases, presence of this anomaly usually comes to light during infancy because of recurrent chest infections, cardiopulmonary insufficiency or due to associated congenital anomalies. However, patients with one lung have been reported to survive well into adulthood without much complaints

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M PRATHYUSHA , K PRASHANTH KUMAR , N USHA RANI , & A SAI KUMAR (January-2023). Right Lung Aplasia with Bronchial Asthma ,a rare case . INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(1), c150-c152. https://ijnrd.org/papers/IJNRD2301220.pdf

Volume 8 Issue 1, January-2023

Pages : c150-c152

Paper Reg. ID: IJNRD_186071

Published Paper Id: IJNRD2301220

Downloads: 000121980

Research Area: Medical Science

Country: HYDERABAD, TELANGANA , INDIA

Published Paper PDF: https://ijnrd.org/papers/IJNRD2301220.pdf

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Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

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