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Ipsilateral lobar emphysema in an infant with a repaired congenital diaphragmatic hernia

Joseph Sykes1, Derrick McQueen, Lakshmi Vaithilingham

  • 1Newark Beth Israel Medical Center, Newark, NJ, USA. jsykes@sbhcs.com

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|August 10, 2010
PubMed

Insights

Congenital diaphragmatic hernia survivors may rarely develop lobar emphysema, leading to respiratory failure. Surgical intervention, such as lobectomy, can successfully treat this condition in infants.

Area of Science:

  • Pediatric Surgery
  • Neonatal Respiratory Medicine
  • Thoracic Pathology

Background:

  • Congenital diaphragmatic hernia (CDH) is a serious birth defect requiring prompt surgical repair.
  • Postnatal respiratory complications can arise even after successful CDH repair.

Observation:

  • A 9-month-old infant, previously treated for CDH, presented with severe respiratory failure.
  • Imaging revealed massive hyperinflation of the right lung with ventilation-perfusion defects.

Findings:

  • The infant was diagnosed with lobar emphysema affecting the right lung.
  • Surgical lobectomy was performed to address the hyperinflation and respiratory compromise.

Implications:

  • Lobar emphysema is a rare but significant potential complication in infants with a history of CDH.
  • Early diagnosis and surgical management are crucial for successful outcomes in these complex cases.
Abstract

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