TY - JOUR
AR - SCR-2018-3-127
TI - Bronchial atresia in an accessory lobe caused tension pneumothorax
AU -  Aya , Takeda
AU - Masaya, Aoki
AU - Go , Kamimura
AU - Kazuhiro , Ueda
AU - Kota , Kariatsumari
AU - Maeda , Koki
AU - Mari , Kirishima
AU - Masakazu , Yanagi
AU - Masami , Sato
AU - Naoya , Yokomakura
AU - Nobuhiro , Imamura
AU - Syoichiro , Morizono
AU - Tadashi , Umehara
AU - Takuya, Tokunaga
AU - Tsunayuki , Otsuka
AU - Yuto , Nonaka
JO - Surgical Case Reports
PY - 2018
DA - Fri 28, Dec 2018
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2018.03.027
UR - https://www.sciencerepository.org/bronchial-atresia-in-an-accessory-lobe-caused-tension-pneumothorax_SCR-3-127 
KW - Pneumothorax,  congenital bronchial atresia posterior, pulmonary lobe, accessory fissure
AB - We report a case in which bronchial atresia in an accessory lobe caused tension pneumothorax. The atretic
bronchus was found in an accessory lobe (right S6) that had been incompletely isolated from the right lower
lobe during the fetal period. The accessory lobe was overinflated, leading to bullous formation due to the
trapping of air. Video-assisted excision of the posterior lobe was successfully performed without any
perioperative complications. The pathological findings were compatible with congenital bronchial atresia.
This is the first report of bronchial atresia in an accessory lobe. We must keep this lesson in mind because
such cases can suddenly develop serious complications.