scholarly journals Iatrogenic pneumothorax in a 4-week-old girl: new diagnosis of congenital lobar emphysema

2020 ◽  
Vol 13 (2) ◽  
pp. e233302
Author(s):  
Ashley Reed ◽  
Sandra Fernandes Lucas ◽  
Agnieszka Nowacka ◽  
Chukwubuike Eze
Keyword(s):  
Clinical Improvement ◽  
Tension Pneumothorax ◽  
Chest Drain ◽  
Severe Respiratory Distress ◽  
Congenital Lobar Emphysema ◽  
Tertiary Centre ◽  
Lobar Emphysema ◽  
Apex Beat ◽  
The Right ◽  
New Diagnosis

A 4-week-old female patient presented with severe respiratory distress, hypoxia and apnoeic episodes on a background of a few-day history of coryza and cough. There was significantly reduced air entry on the left side and a displacement of the apex beat to the right of the chest. The examination findings with oxygen desaturations and a right-sided mediastinal shift on chest X-ray led to a diagnosis of tension pneumothorax following which a needle thoracentesis was undertaken. This appeared to worsen the patient’s clinical condition; hence, a chest drain was inserted with unsatisfactory clinical improvement. In view of the presentation and lack of clinical improvement after chest drain insertion, the case was transferred to the paediatric respiratory team in a tertiary centre where the diagnosis was revised to congenital lobar emphysema based on chest computer tomography findings. She subsequently benefited from a left upper lobectomy and lingulectomy and was discharged home 4 days after surgery.

Survival case of acute and severe respiratory distress due to spontaneous tension gastrothorax

2020 ◽  
Vol 13 (9) ◽  
pp. e235281
Author(s):  
Sanjan Asanaru Kunju ◽  
Prithvishree Ravindra ◽  
Ramya Kumar Madabushi Vijay ◽  
Priya Pattath Sankaran
Keyword(s):  
Tension Pneumothorax ◽  
Emergency Laparotomy ◽  
Severe Respiratory Distress ◽  
Mediastinal Shift ◽  
Breath Sounds ◽  
Chest X Ray ◽  
The Right ◽  
Tension Gastrothorax ◽  
Obstructive Shock ◽  
Survival Case

A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful.

scholarly journals Bronchopulmonary dysplasia in extremely premature infant with congenital lobar emphysema: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bingchun Lin ◽  
Huitao Li ◽  
Chuanzhong Yang
Keyword(s):  
Premature Infant ◽  
Bronchopulmonary Dysplasia ◽  
Premature Infants ◽  
Gestational Age ◽  
Middle Lobe ◽  
Severe Respiratory Distress ◽  
Congenital Lobar Emphysema ◽  
X Ray ◽  
Chest X Ray ◽  
Lobar Emphysema

Abstract Background Congenital lobar emphysema (CLE) is a congenital pulmonary cystic disease, characterized by overinflation of the pulmonary lobe and compression of the surrounding areas. Most patients with symptoms need an urgent surgical intervention. Caution and alertness for CLE is required in cases of local emphysema on chest X-ray images of extremely premature infants with bronchopulmonary dysplasia (BPD). Case presentation Here, we report a case of premature infant with 27 + 4 weeks of gestational age who suddenly presented with severe respiratory distress at 60 days after birth. Chest X-ray and computed tomography (CT) indicated emphysema in the middle lobe of the right lung. The diagnosis of CLE was confirmed by histopathological examinations. Conclusions Although extremely premature infants have high-risk factors of bronchopulmonary dysplasia due to their small gestational age, alertness for CLE is necessary if local emphysema is present. Timely pulmonary CT scan and surgical interventions should be performed to avoid the delay of the diagnosis and treatment.

scholarly journals Congenital lobar emphysema: a rare cause of respiratory distress in a neonate

2018 ◽  
Vol 6 (1) ◽  
pp. 218
Author(s):  
Nishant Mittal ◽  
Ankit Parakh ◽  
Prashant Jain ◽  
N. K. Mittal
Keyword(s):  
Early Intervention ◽  
Respiratory Distress ◽  
Treatment Options ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Congenital Lobar Emphysema ◽  
Congenital Condition ◽  
Lobar Emphysema ◽  
Intervention Message ◽  
The Right

Congenital lobar emphysema (CLE) is a congenital condition characterized by distension and air trapping of the affected lobe of the lung. It is one of the causes of infantile respiratory distress, which may require surgical resection of affected lobe. Case characteristics: 3-day-old neonate with ventilation refractory respiratory distress. Imaging was suggestive of decreased lung tissue on the right side with ipsilateral mediastinal shift. Intervention/ outcome: Early surgical lobectomy was done to improve lung functions and the child improved dur to early intervention. Message: An early diagnosis with high index of suspicion helps patients with this rare congenital anomaly. Early intervention is the key to good long-term outcome. More awareness about the entity and treatment options available would greatly help improving the outcome and disease burden.

scholarly journals Congenital lobar emphysema mimicking as persistent pneumonia in a newborn

2011 ◽  
Vol 1 (4) ◽  
pp. 101 ◽  
Author(s):  
Sriparna Basu ◽  
Aditya Kumar Gupta ◽  
Ashok Kumar
Keyword(s):  
Respiratory Distress ◽  
Histopathological Examination ◽  
Middle Lobe ◽  
Congenital Lobar Emphysema ◽  
Mediastinal Shift ◽  
Common Causes ◽  
Lobar Emphysema ◽  
Female Baby ◽  
The Right ◽  
High Index Of Suspicion

Congenital lobar emphysema (CLE) is an uncommon congenital malformation of the lung that can present with respiratory distress in early life. We report a full term female baby who presented with intermittent bluish discoloration of the lips and extremities during crying since birth. An initial diagnosis of left sided collapse-consolidation with right-sided compensatory emphysema was made from chest xray. When no improvement was noted after intravenous antibiotic therapy for 7 days, computerized tomographic scan of thorax was done which showed emphysema of the right middle lobe with transherniation and mediastinal shift to the left. Right middle lobectomy was done and postoperative period was uneventful. Histopathological examination of the specimen confirmed the diagnosis of CLE. CLE can mimic more common causes of respiratory distress in neonatal period and needs a high index of suspicion for diagnosis. Early diagnosis and effective surgical treatment is curative.

scholarly journals Congenital Lobar Emphysema in a 17-Day-Old Male Neonate: The Plain Radiographic Features and a Case Report

2022 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Sule MB ◽  
Umar AU ◽  
Gele IH ◽  
Ribah MM ◽  
Aliyu AZ
Keyword(s):  
Left Lung ◽  
Respiratory Disorder ◽  
Lung Field ◽  
Radiographic Findings ◽  
Female Ratio ◽  
Congenital Lobar Emphysema ◽  
Young Infants ◽  
Lobar Emphysema ◽  
Male Neonate ◽  
The Right

Congenital lobar emphysema (CLE) is a rare respiratory disorder which allows air to enter the lungs but can’t escape causing over-inflation of the lobes of the lung. This condition (CLE) is commonly detected in the newborn or young infants but some cases are diagnosed in adulthood. Congenital lobar emphysema is a rare congenital malformation with a prevalence of 1 in 20,000 to 1 in 30, 000, and more prevalent in males, with a male to female ratio of about 3:1. This is a 17 day old male neonate that presented with respiratory difficulty and .had a supine chest radiograph that showed an overinflated left lung field more on the upper and middle zones with flattening of the left hemi diaphragm, marked shift of the heart and mediastinum to the right with some degree of loss of volume involving the right lung. We report the radiographic findings of this case due the rare nature of congenital lobar emphysema.

scholarly journals Flexible Bronchoscopy in the Management of Congenital Lobar Emphysema in the Neonate

1998 ◽  
Vol 5 (3) ◽  
pp. 219-221 ◽  
Author(s):  
EZ Phillipos ◽  
K Libsekal
Keyword(s):  
Respiratory Distress ◽  
Flexible Bronchoscopy ◽  
Left Hemithorax ◽  
Severe Respiratory Distress ◽  
Emergency Relief ◽  
Congenital Lobar Emphysema ◽  
X Ray ◽  
Chest X Ray ◽  
Fraction Of Inspired Oxygen ◽  
Lobar Emphysema

This paper describes the case of a 3 kg neonate who had congenital lobar emphysema of the left upper lobe (LUL). He was in severe respiratory distress with a fraction of inspired oxygen of 0.8. Chest x-ray showed hyperlucent expanded left hemithorax and marked mediastinal shift. Following flexible bronchoscopy and introduction of ultrathin bronchoscope into the LUL bronchus, symptoms and chest x-ray improved markedly. Flexible bronchoscopy resulted in emergency relief of his initial respiratory distress, and left upper lobe lobectomy was performed electively three days later.

scholarly journals A case report of congenital lobar emphysema

2020 ◽  
Vol 7 (4) ◽  
pp. 945
Author(s):  
Aditya K. ◽  
Parvathi K. ◽  
Prabhakar V.
Keyword(s):  
Case Report ◽  
Lower Respiratory Tract ◽  
Supportive Therapy ◽  
Congenital Lobar Emphysema ◽  
The Past ◽  
Lung Lobectomy ◽  
History Of ◽  
Alveolar Overdistension ◽  
Lobar Emphysema ◽  
The Right

Congenital lobar emphysema (CLE), also known as congenital alveolar overdistension, is a developmental anomaly of the lower respiratory tract that is characterized by hyperinflation of one or more of the pulmonary lobes. CLE is a rare congenital malformation with a prevalence of 1 in 20,000 to 1 in 30,000. We are reporting a 4-month-old boy presented with complaints of cough and cold for 3 days with history of similar complaints in the past at age of 1month and 2 months. Investigations revealed hyperlucency of left upper zone with tracheal shift and mild shift of the heart to the right. Elective Left Upper Lung Lobectomy was done and Appropriate supportive therapy given and child recovered well.

scholarly journals CONGENITAL LOBAR EMPHYSEMA

2013 ◽  
Vol 3 (2(8)) ◽  
pp. 44-49
Author(s):  
I.P. Zhurylo ◽  
G.A. Sopov ◽  
A.M. Moiseev ◽  
V.K. Litovka ◽  
M.V. Vakulenko ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Progressive Increase ◽  
Middle Lobe ◽  
Congenital Lobar Emphysema ◽  
Male Patients ◽  
Lobar Emphysema ◽  
The Right

The experience of diagnosis andtreatment of congenital lobar emphysema (CLE) wassummarized in 5 children aged from 3 weeks old to10 months. Male patients was 3, female - 2. In fourobservations noted lesion of the upper lobe of the leftlung, and in one - the middle lobe of the right lung. CLEdiagnosed in all children after birth. The indicationfor surgery was a progressive increase of the affectedlobe. In all cases lobectomy was performed. Therewere no complications. The possibility of prenataldetection of EDF and differential diagnosis with othercongenital anomalies of the lungs was discussed.

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