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Published on: January 23, 2026
Left Upper Lobectomy for Congenital Lobar Emphysema in a Low Weight Infant
Meletios Kanakis1, Konstantinos Petsios1, Dimitrios Bobos1
1Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Center, Athens, 17674 Kallithea, Greece.
Insights
Congenital lobar emphysema (CLE), a rare lung malformation, presents diagnostic challenges in infants with respiratory distress. Surgical removal of the affected lobe led to a successful recovery in a neonate.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Medical Diagnostics
Background:
- Congenital lobar emphysema (CLE) is an uncommon congenital lung abnormality.
- Diagnosing CLE in neonates with acute respiratory distress is often difficult.
- Early identification and intervention are crucial for managing this condition.
Purpose of the Study:
- To present a case of congenital lobar emphysema in a neonate.
- To highlight the diagnostic challenges associated with CLE in infants.
- To demonstrate the successful surgical management and outcome of CLE.
Main Methods:
- Case report of a 3-week-old female infant presenting with respiratory distress.
- Clinical evaluation and diagnostic workup for suspected lung malformation.
- Surgical intervention involving left upper lobectomy.
Main Results:
- The infant presented with symptoms consistent with congenital lobar emphysema.
- Surgical resection of the affected left upper lobe was successfully performed.
- The patient experienced an uneventful recovery following the lobectomy.
Conclusions:
- Congenital lobar emphysema requires prompt diagnosis and surgical treatment.
- Lobectomy is an effective treatment for symptomatic congenital lobar emphysema.
- Surgical intervention can lead to favorable outcomes in affected infants.
Abstract:
Congenital lobar emphysema (CLE) is a rare lung congenital malformation. Differential diagnosis of the disease remains challenging in an infant with acute respiratory distress. We report a case of a 3-week-old female infant with a weight of 2.1 kg who presented respiratory distress related to CLE. Left upper lobectomy was performed and she had an uneventful recovery.

