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Recurrent Peumonia in an Infant With an Esophageal Lung

Neha Thakur1, Dipti Agarwal2, Shamrendra Narayan3

  • 1Department of Pediatrics, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. nehaimsbhu@gmail.com.

Indian Pediatrics
|March 22, 2020
PubMed

Insights

Esophageal lung, a rare congenital malformation, involves abnormal connection between respiratory tissue and the esophagus. This case highlights diagnostic challenges, emphasizing the need for accurate identification of this rare condition.

Area of Science:

  • Medical Science
  • Pediatric Pulmonology
  • Congenital Malformations

Background:

  • Esophageal lung is a rare congenital anomaly characterized by an abnormal communication between respiratory tissue and the esophagus.
  • It is a type of bronchopulmonary foregut malformation, often presenting in early childhood with symptoms like recurrent cough and pneumonia.

Observation:

  • A 7-month-old female infant presented with symptoms suggestive of respiratory illness.
  • The infant was initially misdiagnosed with dextrocardia and right-sided pneumonitis.

Findings:

  • The patient was diagnosed with a right-sided esophageal lung, a rare variant of bronchopulmonary foregut malformation.
  • This diagnosis was made after initial misdiagnosis, highlighting potential diagnostic complexities.

Implications:

  • Accurate and timely diagnosis of esophageal lung is crucial for appropriate management in pediatric patients.
  • This case underscores the importance of considering rare malformations in the differential diagnosis of recurrent respiratory symptoms in infants.
  • Further research into the diagnostic criteria and management strategies for esophageal lung is warranted.

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