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VOLUME 57 , ISSUE 2 ( April-June, 2015 ) > List of Articles

CASE REPORT

Swyer-James-Macleod Syndrome: A Rare Entity

Urvinderpal Singh, Vidhu, Aditi, Kulbir Singh, Ashrafjit Singh

Keywords : Swyer-James-MacLeod syndrome, Unilateral hyperlucency

Citation Information : Singh U, V, A, Singh K, Singh A. Swyer-James-Macleod Syndrome: A Rare Entity. Indian J Chest Dis Allied Sci 2015; 57 (2):117-119.

DOI: 10.5005/ijcdas-57-2-117

License: CC BY-NC 4.0

Published Online: 17-11-2022

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Swyer-James-MacLeod syndrome is a radiological entity characterised by hyperlucency of one or more lobes or of the entire lung associated with decreased number and diameter of ipsilateral peripheral pulmonary vessels resulting in difficult visibility of the arterial network, and unobstructed bronchial system. We report the case of a 12-year-old girl who presented with chief complaint of pain in the chest. Chest radiograph (postero-anterior view) showed hyperlucent left lung field with increased lung volume and shift of the mediastinum to the right side. Contrast-enhanced computed tomography (CECT) of the chest showed hyperlucency and diminished vascularity in the upper lobe and lingula of left lung with hyperinflation of the pulmonary parenchyma. On the basis of clinical and radiological findings, the patient was diagnosed to have Swyer-James-MacLeod syndrome.


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  1. Capela C, Gouveia P, Sousa M, Regadas MJ. Adult diagnosis of Swyer-James-MacLeod syndrome: a case report. J Med Case Rep 2011;5:2.
  2. Gorska L, Kuziemski K, Wajda B, Damps K, Stanska L, Tokarska B, et al. Hyperlucent lung syndrome caused by pulmonary artery hypoplasia in patient diagnosed with asthma-case report. Pol Merkur Lekarski 2008;143:43-8.
  3. 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;8:482-4.
  4. Macleod WM. Abnormal transradiancy of one lung. Thorax 1954;9:147-53.
  5. Piquette CA, Rennard SI, Snider GL. Chronic bronchitis and emphysema. In: Murray JF, Nadel JA, editors Textbook of Respiratory Medicine; 3rd edition. Philadelphia: W.B. Saunders Company; 2000:pp1187-245.
  6. Abba AA, Al-Mobeireek AF. Clinical spectrum of Swyer- James-MacLeod syndrome in adults. Saudi Med J 2003;24:195-8.
  7. Collins J, Stern EJ. Unilateral hyperlucent lung. In: Collins J, Stern EJ, editors Chest Radiology: The Essentials. Philadelphia: Lippincott Williams & Wilkins; 1999:pp207-8.
  8. Sit SC, Lee QU, Chiu MC. Three children with Swyer-James/ Macleod syndrome. HK J Paediatr (new series) 2007;12:53-7.
  9. Gopinath A, Strigun D, Banyopadhyay T. Swyer-James syndrome. Conn Med 2005;69:325-7.
  10. Moore AD, Godwin JD, Dietrich PA, Verschakelen JA, Henderson WR Jr. Swyer-James syndrome: CT findings in eight patients. AJR Am J Roentgenol 1992;158:1211-5.
  11. Marti-Bonmati L, Ruiz Perales F, Catala F, Mata JM, Calonge E. CT findings in Swyer-James syndrome. Radiology 1989;172:477-80.
  12. Fregonese L, Girosi D, Battistini E, Fregonese B, Risso FM, Bava GL, et al. Clinical, physiologic, and roentgenographic changes after pneumonectomy in a boy with Macleod/ Swyer-James syndrome and bronchiectasis. Pediatr Pulmonol 2002;34:412-6.
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