Skip to main content

Advertisement

SpringerLink
Log in

Communicating bronchopulmonary foregut malformation type IA: radiologic anatomy and clinical dilemmas

  • Anatomic Bases of Medical, Radiological and Surgical Techniques
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Background

Communicating bronchopulmonary foregut malformation (CBPFM) type IA is extremely rare and is associated with a high mortality rate. This malformation manifests with communication between the lung and the foregut, and this can lead to esophageal atresia and tracheoesophageal fistula (EA-TEF) to the distal pouch.

Purpose

To detail radiographic findings of CBPFM type IA cases and to summarize an appropriate therapeutic strategy for the management of this disorder.

Methods

Medical data for two patients with CBPFM type IA were retrospectively reviewed with regard to radiographic characteristics, therapy, and outcome.

Results

Both cases were initially misdiagnosed due to the presence of EA-TEF. Unusual atelectasis of the lateral lung was observed in chest radiographs, while non-aerated hypoplastic right lung and agenesis of the right main bronchus were detected by computed tomography. A final diagnosis was made by esophagogram. Only one patient survived following surgery.

Conclusion

CBPFM type IA is a rare condition and is extremely difficult to diagnose. However, CBPFM type IA should be suspected in patients manifesting EA and atelectasis of a unilateral lung on a chest radiograph. The decision to perform a pneumonectomy or bronchoplasty depends on the degree of exiting permitted due to pulmonary damage assessed by computed tomography.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Boersma D, Koot BG, van der Griendt EJ, van Rijn RR, van der Steeg AF (2012) Congenital bronchopulmonary foregut malformation initially diagnosed as esophageal atresia type C: challenging diagnosis and treatment. J Pediatr Surg 47:e59–e62

    Article  PubMed  Google Scholar 

  2. Bordet F, Combet S, Basset T, Pouyau A, Dubois Y, Boulétreau P (1998) Acute gastric distension necessitating gastrostomy after anesthetic induction for surgical correction of type III esophageal atresia. Ann Fr Anesth Reanim 17:1136–1139

    Article  CAS  PubMed  Google Scholar 

  3. Chung JH, Lim GY, Kim SY (2014) Esophageal lung diagnosed following the primary repair of esophageal atresia with tracheo-esophageal fistula in a neonate. Surg Radiol Anat 36:397–400

    Article  PubMed  Google Scholar 

  4. Gerle RD, Jaretzki AD, Ashley CA, Berne AS (1968) Congenital bronchopulmonary foregut malformation: pulmonary sequestration communicating with the gastrointestinal tract. N Engl J Med 278:1413–1419

    Article  CAS  PubMed  Google Scholar 

  5. Nakaoka T, Uemura S, Yano T, Tanimoto T, Miyake H, Kasahara S, Sano S (2009) Successful reconstruction of communicating bronchopulmonary foregut malformation associated with laryngotracheoesophageal cleft. J Pediatr Surg 44:e29–e32

    Article  PubMed  Google Scholar 

  6. Qi BQ, Beasley SW (1999) Pathohistological study of adriamycin-induced tracheal agenesis in the fetal rat. Pediatr Surg Int 15:17–20

    Article  CAS  PubMed  Google Scholar 

  7. Qi BQ, Beasley SW (1999) Communicating bronchopulmonary foregut malformations in the adriamycin-induced rat model of oesophageal atresia. Aust N Z J Surg 69:56–59

    Article  CAS  PubMed  Google Scholar 

  8. Rasch DK, Grover FL, Schnapf BM, Clarke E, Pollard TG (1990) Right pneumonectomy syndrome in infancy treated with an expandable prosthesis. Ann Thorac Surg 50:127–129

    Article  CAS  PubMed  Google Scholar 

  9. Seguier-Lipszyc E, Dauger S, Malbezin S, Aigrain Y, de Lagausie P (2005) Reimplantation of oesophageal bronchus following a type III oesophageal atresia repair. Pediatr Surg Int 21:649–651

    Article  CAS  PubMed  Google Scholar 

  10. Srikanth MS, Ford EG, Stanley P, Mahour GH (1992) Communicating bronchopulmonary foregut malformations: classification and embryogenesis. J Pediatr Surg 27:732–736

    Article  CAS  PubMed  Google Scholar 

  11. Tsugawa J, Tsugawa C, Satoh S, Nishijima E, Muraji T, Takamizawa S, Kanegawa K, Akasaka Y (2005) Communicating bronchopulmonary foregut malformation: particular emphasis on concomitant congenital tracheobronchial stenosis. Pediatr Surg Int 21:932–935

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We appreciate the opinions we received when this issue was presented at the 4th World Congress of Pediatric Surgery, Berlin, Germany, October 13–16, 2013.

Conflict of interest

The authors declare they have no conflicts of interest to report.

Author information

Author notes

    Authors and Affiliations

    1. Southern Medical University, No. 9 Jinsui Road, Tianhe District, Guangzhou City, Guangdong Province, 510623, People’s Republic of China

      Qiu-ming He & Hui-min Xia

    2. Guangzhou Women and Children’s Medical Center, Guangzhou, People’s Republic of China

      Qiu-ming He, Wei-qiang Xiao, Zhe Wang, Wei Zhong & Hui-min Xia

    3. Guangdong Women and Children Hospital, Guangzhou, People’s Republic of China

      Shang-jie Xiao & Xiao-chun Zhu

    Authors
    1. Qiu-ming He
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. Shang-jie Xiao
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. Xiao-chun Zhu
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. Wei-qiang Xiao
      View author publications

      You can also search for this author in PubMed Google Scholar

    5. Zhe Wang
      View author publications

      You can also search for this author in PubMed Google Scholar

    6. Wei Zhong
      View author publications

      You can also search for this author in PubMed Google Scholar

    7. Hui-min Xia
      View author publications

      You can also search for this author in PubMed Google Scholar

    Corresponding authors

    Correspondence to Wei Zhong or Hui-min Xia.

    Additional information

    Q. He and S. Xiao contributed equally to this work. W. Zhong was co-corresponding author.

    Rights and permissions

    Reprints and permissions

    About this article

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this article

    He, Qm., Xiao, Sj., Zhu, Xc. et al. Communicating bronchopulmonary foregut malformation type IA: radiologic anatomy and clinical dilemmas. Surg Radiol Anat 37, 1251–1256 (2015). https://doi.org/10.1007/s00276-015-1504-x

    Download citation

    • Received:

    • Accepted:

    • Published:

    • Issue Date:

    • DOI: https://doi.org/10.1007/s00276-015-1504-x

    Keywords

    Search

    Navigation