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Ann Thorac Surg 1994;58:565-567
© 1994 The Society of Thoracic Surgeons

Articles

Deficiency of cartilage in the segmental bronchi of a child: Congenital or acquired?

Ronald J. Elfeldt, MD*, Dietmar Schmidt, MD, Jochen Thies, MD, Detlev W. Schröder, MD, Peter Seiffert, MD

Departments of General and Thoracic Surgery, General Pathology, and General Pediatrics, University of Kiel, Kiel Germany

Accepted for publication November 15, 1993.

* Address reprint requests to Dr Elfeldt, Department of General and Thoracic Surgery, University of Kiel, Amold-Heller-Straβe 7, 24105 Kiel, Germany.

The case of a 4-year-old girl suffering from a severe bronchiopneumonia of the left lower lobe is presented. Microscopically no cartilage was found in the resected lobe distal to the lobar bronchus. The case is unusual because a congenital lobar emphysema associated with an aplasia of bronchial cartilage has to be considered as well as secondary cartilage destruction due to chronic relapsing inflammations.






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Copyright © 1994 by The Society of Thoracic Surgeons.