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Updated: Jul 7, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Congenital Lobar Emphysema in Children: Case Series

Nada Benbouziane1, Loubna Larda2, Christian Pongo2

  • 1Pediatrics, Hôpital Mère-Enfant Abderrahim Harouchi, Casablanca, MAR.

Cureus
|December 27, 2023
PubMed

Insights

Congenital lobar emphysema, a rare lung malformation, often presents as recurrent infant wheezing. Early diagnosis via imaging and surgical lobectomy can lead to successful outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Recurrent wheezing is common in infants, but early onset without remission suggests potential pulmonary malformations.
  • Congenital lobar emphysema (CLE) is a rare lower respiratory tract abnormality.
  • Investigating CLE is crucial for infants with persistent respiratory symptoms.

Purpose of the Study:

  • To report a case series of congenital lobar emphysema in infants.
  • To highlight clinical and radiological features of CLE.
  • To evaluate the efficacy of surgical intervention for CLE.

Main Methods:

  • A retrospective case series of six patients diagnosed with CLE between 2015 and 2023.
  • Collection of clinical and radiological data using a standardized operating sheet.
  • Diagnostic confirmation through chest radiography and computed tomography (CT).

Main Results:

  • All six patients presented with recurrent wheezing and dyspnea.
  • Chest radiography and CT scans confirmed the diagnosis of congenital lobar emphysema.
  • All patients underwent successful lobectomy with no reported complications.

Conclusions:

  • Congenital lobar emphysema should be considered in infants with early-onset recurrent wheezing and dyspnea.
  • Multidetector CT is essential for diagnosing CLE.
  • Lobectomy is a safe and effective treatment for congenital lobar emphysema in infants.

Keywords:
congenital lobar emphysemacongenital lung malformationsneonatal respiratory distresspulmonary lobectomyrecurrent wheezing

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