Related Experiment Video
Updated: Nov 20, 2025
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Congenital lung malformations : analysis of 27 cases
Insights
Congenital lung malformations (CLM) are diverse developmental issues. This study highlights their varied clinical and imaging features in children, aiding diagnosis and management.
Area of Science:
- Pediatric Radiology
- Thoracic Surgery
- Neonatology
Background:
- Congenital lung malformations (CLM) represent a spectrum of developmental abnormalities.
- Diagnosis often occurs prenatally or in early childhood.
- Understanding CLM is crucial for timely intervention.
Purpose of the Study:
- To investigate the clinical and imaging findings of congenital lung malformations in children.
- To correlate radiological appearances with histological diagnoses.
- To improve diagnostic accuracy for CLM.
Main Methods:
- Retrospective analysis of 27 pediatric CLM cases diagnosed between 2000 and 2017.
- Review of clinical presentations, diagnostic tools, and radiological findings.
- Evaluation of antenatal ultrasound and computed tomography (CT) scan data.
Main Results:
- The study identified 8 cases each of congenital lobar emphysema, congenital cystic adenomatoid malformation, and pulmonary sequestration.
- Most cases (81.4%) were diagnosed postnatally, with common symptoms including respiratory distress, wheezing, and pneumonia.
- CT scans showed high concordance (96%) with histological diagnoses, and antenatal ultrasound revealed characteristic features.
Conclusions:
- Congenital lung malformations present with diverse clinical and imaging findings in children.
- Computed tomography is a valuable tool for diagnosing CLM with high accuracy.
- Early diagnosis and characterization of CLM are essential for appropriate pediatric care.
Introduction:
Congenital lung malformations (CLM) include a complex range of developmental abnormalities. Currently, most are diagnosed prenatally or during early childhood.
Objective:
to investigate clinical and imaging findings of congenital lung malformations in children.
Methods:
Retrospective study of CLM diagnosed between 2000 and 2017 at the pediatric and neonatology department of Hedi Chaker Hospital. Analysis of clinical spectrum, diagnosis tools, and radiological appearances.
Results:
Twenty seven cases of CLM have been investigated: 8 congenital lobar emphysema, 8 congenital cystic adenomatoid malformation, 8 pulmonary sequestrations, 2 bronchogenic cysts, and 1 hybrid lesion. Five (18,5%) patients were diagnosed antenatally and 22 (81,4%) postnatally. Symptoms occurred at a mean age of 9 months: Respiratory distress (11 cases), wheezing (4 cases), and pneumonia (7 cases). Antenatal ultrasound features include echogenic masses within the chest (2cases), the presence of cysts (2cases), unilateral pleural effusion (1 case) and hydramnios (2cases). A computed tomography scan was performed in all patients with a radio-histological concordance of 96%.
