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Updated: Aug 18, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

[Congenital lobar emphysema]

Aida Omerctahić-Dizdarević1, Ediba Saracević, Fedzet Jonuzi

  • 1Pedijatrijska Klinika, Kliniki Centar Univerziteta Sarajevu.

Medicinski Arhiv
|May 7, 2005
PubMed

Insights

Congenital lobar emphysema, a rare condition causing lung overinflation in infants, requires early suspicion and prompt surgical intervention for successful treatment. Diagnosis is confirmed using chest X-rays and CT scans.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Congenital lobar emphysema (CLE) is a rare condition characterized by pulmonary lobe overinflation due to localized bronchial obstruction.
  • This condition can lead to severe respiratory distress in early infancy.
  • Prompt diagnosis and intervention are crucial for managing CLE.

Purpose of the Study:

  • To review cases of congenital lobar emphysema treated at the department.
  • To highlight diagnostic methods and treatment outcomes for CLE.
  • To emphasize the importance of early detection and management.

Main Methods:

  • Retrospective review of medical records for children diagnosed with CLE between 1997 and 2003.
  • Analysis of presenting symptoms, diagnostic imaging (chest X-ray, CT scan), affected lung lobes, and treatment modalities.
  • Evaluation of surgical intervention (lobectomy) in affected infants.

Main Results:

  • Three male infants diagnosed with CLE, aged 16 days to 1 year.
  • Common presenting symptoms included dyspnea, cyanosis, wheezing, and recurrent respiratory infections.
  • Chest X-rays and CT scans confirmed lobe hyperinflation; left upper lobe was affected in two patients, right upper lobe in one. All underwent lobectomy.

Conclusions:

  • Congenital lobar emphysema should be suspected in infants presenting with respiratory distress.
  • Diagnosis is effectively established using chest X-rays and computed tomography (CT) scans.
  • Intensive therapy and urgent lobectomy are essential for successful treatment outcomes in severe cases.
Abstract

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