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[Congenital lobar emphysema]
C Belio-Castillo1, M Prado-Pallares, G Blanco-Rodríguez
1Hospital Infantil de México Federico Gómez, Departamento de Cirugia del Tórax y Endoscopia, D.F.
Insights
Congenital lobe emphysema in children requires early diagnosis and prompt surgical intervention. This study reviewed 17 cases, highlighting the effectiveness of lobectomy for this rare condition.
Area of Science:
- Pediatric Surgery
- Pulmonology
- Medical History
Background:
- Congenital lobe emphysema is a rare respiratory condition affecting infants and children.
- Early recognition and treatment are crucial for patient outcomes.
Purpose of the Study:
- To review the treatment of congenital lobe emphysema cases at a specific pediatric hospital.
- To analyze patient demographics, symptoms, diagnostic methods, and surgical outcomes.
Main Methods:
- Retrospective case series analysis of 17 patients treated between 1971 and 1989.
- Review of medical records, including symptoms, chest X-rays, and surgical procedures.
- Lobectomy was the primary surgical intervention for all cases.
Main Results:
- 17 cases (13 male, 4 female) were identified, with symptom onset from 13 days to 3 years.
- Common symptoms included respiratory failure and cyanosis.
- Chest X-rays revealed lobe hyperclarity, mediastinal deviation, and lung collapse. The upper left lobe was most frequently affected.
- Two patients (11.8%) died post-operatively.
Conclusions:
- Congenital lobe emphysema necessitates prompt surgical treatment, primarily lobectomy.
- Early diagnosis through characteristic radiological findings is vital.
- Despite surgical intervention, mortality remains a concern in severe cases.
Abstract:
This article includes the way cases of congenital lobe emphysema were treated at the Hospital Infantil de México "Federico Gómez" during 1971 to 1989. A total of 17 cases were gathered, 13 were males and 4 were females; admittance age varied from 13 days to 3 years. The children's main symptoms were respiratory failure and cyanosis. The diagnosis was enhanced by a chest X-ray where lobe hyperclarity was detected, as well as a deviation of the mediastinum and a collapsed lung. A lobectomy was performed in all cases. The upper left lobe was seen to be the most affected. Two of the children died. It is important to recognize this disease early on and conduct prompt surgical treatment.