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Congenital lobar emphysema.

A H al-Salem1, Y Adu-Gyamfi, C S Grant

  • 1Department of Surgery, King Fahd Hospital, University Al Khobar, Saudi Arabia.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|April 1, 1990
PubMed
Summary

Congenital lobar emphysema (CLE) in infants presents with recurrent chest infections. Surgical intervention like lobectomy offers good recovery for this rare lung condition.

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Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Medical Genetics

Background:

  • Congenital lobar emphysema (CLE) is a rare congenital lung malformation.
  • It often presents in infancy with respiratory distress and recurrent infections.
  • Early diagnosis and management are crucial for favorable outcomes.

Purpose of the Study:

  • To review three cases of congenital lobar emphysema in Saudi Arabia.
  • To discuss the clinical features, diagnostic methods, and management strategies for CLE.
  • To briefly outline anesthetic considerations for affected infants.

Main Methods:

  • Retrospective review of three pediatric cases diagnosed with CLE over three years.
  • Diagnostic confirmation using chest X-ray.
  • Surgical management (lobectomy) in two cases; non-surgical management in one.

Main Results:

  • All three patients were male infants presenting with recurrent neonatal chest infections.
  • Diagnosis was confirmed via chest X-ray in all cases.
  • Two patients underwent successful lobectomy with good recovery; one case refused surgery.

Conclusions:

  • Congenital lobar emphysema requires prompt diagnosis and appropriate management.
  • Lobectomy is an effective treatment for symptomatic CLE.
  • Anesthetic management should be carefully planned for these patients.

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