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Related Experiment Videos

[Lobar emphysema in children]

M Raos1, I Koncul, M Sanjek

  • 1Bolnica za tuberkulozu pluća i plućne bolesti djece i omladine, Zagreb.

Lijecnicki Vjesnik
|January 1, 1994
PubMed
Summary
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Lobar emphysema, a rare lung anomaly, presents varied symptoms. While surgery is common, one case showed improvement with hospital treatment after parents refused surgery.

Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Congenital Lung Abnormalities

Background:

  • Lobar emphysema is a rare congenital lung malformation.
  • Clinical presentation ranges from severe dyspnea in infancy to milder symptoms later in life.
  • Surgical resection is the conventional management approach.

Observation:

  • Two pediatric cases of lobar emphysema are presented.
  • Case 1: Right upper lobe emphysema diagnosed at three months, surgically treated.
  • Case 2: Left upper lobe emphysema diagnosed at three years; parents declined surgery, opting for conservative management.

Findings:

  • Surgical removal was successful in the first case.
  • The second case, managed non-surgically, showed resolution of dyspneic symptoms following hospital treatment.

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  • This suggests non-operative management may be an option in select cases.

    • Implications:

    • Highlights the variable clinical course of lobar emphysema.
    • Challenges the universal indication for surgery in all lobar emphysema cases.
    • Suggests further investigation into non-surgical management strategies for pediatric lobar emphysema is warranted.