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Congenital hernia of the lung through the azygoesophageal recess

Korean Journal of Pediatrics 2008;51(10):1123-1126.
Published online October 15, 2008.
Congenital hernia of the lung through the azygoesophageal recess
Young Seok Choi, Young Jun Son, Si Young Bae, Kyung Sun Min, Young Kuk Cho, Woo Yeon Choi, Young Youn Choi, Jae Sook Ma, Tai Ju Hwang
Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea
Azygoesophageal recess를 통한 선천 폐탈장
최영석, 손영준, 배시영, 민경선, 조영국, 최우연, 최영륜, 마재숙, 황태주
전남대학교 의과대학 소아과학교실
Correspondence: 
Jae Sook Ma, Email: cardiol@jnu.ac.kr
Abstract
A lung hernia, defined as the protrusion of pulmonary tissue and pleural membranes through a defect in the thoracic wall, is a rare event. It can be congenital or acquired, and cervical, thoracic, or diaphragmatic in location. We report the rare occurrence of a congenital atraumatic lung herniation through the azygoesophageal recess. An 8-month-old male infant, who was born at 35 weeks gestation, had a chronic cough. Chest radiography showed haziness at the right lower lobe of the lung (RLL). Chest computed tomography (CT) revealed herniation of the RLL through the azygoesophageal recess. If persistent unilateral haziness is observed on chest radiography, the possibility of lung herniation should be considered.
Key Words: Lung hernia, Azygoesophageal recess, Children


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