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Published on: March 6, 2019

Bilateral congenital lobar emphysema: how should we proceed?

Shreesha Maiya1, Jane R Clarke, Bharat More

  • 1Department of Respiratory Medicine and Cystic Fibrosis, Birmingham Children's Hospital, Birmingham, UK.

Pediatric Surgery International
|May 27, 2005
PubMed

Insights

Congenital lobar emphysema (CLE) in infants can cause respiratory distress. This case study details the successful surgical removal of affected lung lobes in a 4-week-old male infant.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Neonatal Medicine

Background:

  • Congenital lobar emphysema (CLE) is a rare congenital lung malformation.
  • It can lead to severe respiratory distress in neonates and infants.
  • Early diagnosis and intervention are crucial for favorable outcomes.

Observation:

  • A 4-week-old male infant presented with progressive respiratory distress.
  • Chest X-ray revealed bilateral congenital lobar emphysema.
  • The infant required prompt surgical management.

Findings:

  • Sequential surgical resection was performed.
  • Left upper lobectomy was completed first.
  • Right middle lobectomy was subsequently performed.

Implications:

  • This case highlights a successful surgical strategy for bilateral CLE.
  • Sequential lobectomy can be an effective treatment option.
  • Management of CLE requires careful surgical planning and execution.

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