CONGENITAL LOBAR EMPHYSEMA

Şevval Eren, Akın Eraslan Balcı, Refik Ülkü, Mehmet Nesimi Eren, Nihal Kılınç

Dicle Üniversitesi Tıp Fakültesi, Göğüs Kalp Damar Cerrahisi Ana Bilim Dalı, Diyarbakır
*Dicle Üniversitesi Tıp Fakültesi, Patoloji Ana Bilim Dalı, Diyarbakır

We reviewed four patients with congenital lobar emphysema who had been treated surgically between 1993-2001. Three were boys and one was girl aged 28 days, 2, 3 and 10 months. Recurrent attacs of chest infections, dyspnea, cyanosis and respiratory distress, were the main presentation. The affected side was the left upper lobe in three patients. Chest x-ray and computerized tomography scans showed hyperaeration of the affected lobes. Lobectomy was performed in all cases and postoperative course was uneventful. Congenital lobar emphysema should be suspected in any infant presenting with breathlessness. Despite reports of succesful conservative management, the accepted treatment is surgical lobectomy of the affected lobe.

Keywords : Congenital lobar emphysema, lobectomy

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