Congenital absence of the right pulmonary artery rare casuse of radiological changes suggestive of bronchial foreign body

Monika Jabłońska-Jesionowska, Małgorzata Dębska, Renata Koziołek, *Lidia Zawadzka-Głos

Summary
We report the case of 6.5 year old girl admitted to the Department of Pediatric ENT in Warsaw Medical University in January 2013 suspected of the foreign body in the right bronchus because of the characteristic signs on chest X-ray: emphysema, mediastinal shift to the right, athelectasis and asymmetrical respiratory murmur, weakened on the right. She was investigeted because of persisting cough for more than 3 weeks after infection. The child was qualified for urgent bronchoscopy. The procedure was performed under general anaesthesia using the rigid bronchoscop No. 5. Neither pathology of the respiratory tract nor foreign bodies were found. The further investigation CT scan of the chest shows the absence of the right pulmonary artery. Congenital absence of a right pulmonary artery is a rare abnormality of great vessels. The lack of the right pulmonary artery are often asymptomatic. The abnormal chest X-ray suggesting bronchial foreign body with normal result of bronchoscopy at the same time led to further investigations.

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