DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20162014

Adult diagnosis of hyperlucent unilateral lung: Swyer-James Macleod syndrome

Ankit Jain, Tushar Prabha, Hemant K. Mishra, Dinesh K. Meel

Abstract


Swyer- James- MacLeod Syndrome (SJMS) is a constrictive bronchiolitis with airflow obstruction, decreased number and diameter of ipsilateral peripheral pulmonary vessels and air trapping with characteristic radiological feature of unilateral hyperlucency on chest radiography. Computerized tomography (CT) provides useful additional information. The diagnosis is usually made in childhood, but sometimes it in adult. Here, we report a case in a 36 year old adult female who presented with complaints of breathlessness on exertion, cough and recurrent rhinitis with past history of TB and child hood chest infection. Imaging findings are characteristic of Swyer- James- Macleod syndrome.


Keywords


Constrictive bronchiolitis, Swyer-James-MacLeod syndrome, Hyperlucency, CT

Full Text:

PDF

References


Tortajada M, Gracia M, García E, Hernandez R. Diagnostic considerations in unilateral hyperlucency of the lung (Swyer-James-MacLeod Syndrome). Allergol Immunopathol (Madr). 2004;32(5):265-70.

Talmadge EK, Kinder BW. Bronchiolitis. In: Fishman AP, Elias JA, Fishman JA, Grippi MA, Senior RM, Pack AI. editors. Fishman’s Pulmonary Diseases and Disorders, Vol one and two. Philadelphia: Mc Graw Hill Medical. 2008:1423-47.

Yekeler E. A rare case of swyer-james macleod syndrome and a new clinical presentation, acquired lobar emphysema. Ann Thorac Surg. 2012;93(5):123-5.

Arslan N, Ilgan S, Ozkan M, Yuksekol I, Bulakbasi N, Pabuscu Y et al. Utility of ventilation and perfusion scan in the diagnosis of young military recruits with an incidental finding of hyperlucent lung. Nucl Med Commun. 2001;22(5):525-30.

Gottlieb LS, Turner AF. Swyer-James (Macleod's) syndrome. Variations in pulmonarybronchial arterial blood flow. Chest. 1976;69(1):62-6.

Sulaiman A, Cavaille A, Vaunois B, Tiffet O. Swyer-James-MacLeod syndrome; repeated chest drainages in a patient misdiagnosed with pneumothorax. Interact CardioVasc Thorac Surg. 2009;8(4):482-4.

Gaensler EA. Unilateral hyperlucent lung. In: Simon M, Potchen EJ, LeMay M, editors. Frontiers of Pulmonary Radiology. Orlando: Grune and Stratton; 1969:312-59.

Quaedvlieg V, Duysinx B, Ghaye B, Bartsch P. Clinical case of the month. MacLeod syndrome. Revue Medicale De Liege 2004;59:691-4.

Abba AA, Al-Mobeireek AF. Clinical spectrum of Swyer-James-Macleod syndrome in adults. Saudi Med J. 2003;24(2):195-8.

Wang JY, Chen KY, Chang YC, Chang YL, Lee LN. Swyer-James syndrome complicated by lung abscess. J Formos Med Assoc. 2000;99(3):252-6.

Soni R, Barnes D. Mac leod's syndrome presenting with spontaneous pneumothorax. Respirology. 1999;4(3):275-7.

Schlesinger C, Veeraraghavan S, Koss MN. Constructive (obliterative) bronchiolitis. Current Opinion in Pulmonary Medicine. 1998;4:288-93.

McLoud TC, EpIer GA CTV, Gaensler EA, Carrington CB. Bronchiolitis obliterans. Radiology 1986;159:1-8.

Collins J, Stern EJ. Unilateral hyperlucent lung. In: Chest Radiology: The Essentials edited by Collins J and Stern EJ (Philadelphia: Lippincott Williams & Wilkins). 1999;207-8.

Janet M, Robinson PJA, Whitehouse RW, Wright AR, Jenkins JPR. The normal chest: methods of Investigation and differential Diagnosis. In: David Sutton, editor. Text Book of Radiology and Imaging. 7th ed. Edinburgh: Churchill Livingstone; 2003;38.

Chalmers JH Jr. Swyer-James syndrome. Semin Respir Infect. 1999;14:295-7.

Lucaya J, Gartner S, Garcia-Pena P, Cobos N, Roca I, Linan S. Spectrum of manifestations of Swyer-James-MacLeod syndrome. J Comput Assist. Tomogr. 1998;22:592-7.

Moore AD, Godwin JD, Dietrich PA, Verschakelen JA, Henderson WR Jr. Swyer-James syndrome: CT findings in eight patients. Am J Roentgenol. 1992;158:1211-5.