CONGENITAL LOBAR EMPHYSEMA | ||
| The Egyptian Journal of Surgery | ||
| Volume 32, Issue 2, April 2013, Pages 116-120 PDF (539.9 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2013.366744 | ||
| Authors | ||
| Waleed Mustafa Hussen* 1; Shatha Abdulameir Alkawaz2; Laith Saleh Abood3 | ||
| 1Consultant Thoracic and Vascular Surgeon, College of Medicine, University of Baghdad, | ||
| 2Consultant Paediatric Surgeon, College of Medicine, University of Baghdad, | ||
| 3Specialist Thoracic and Cardiovascular Surgeon, Medical City Teaching Hospital, Iraq | ||
| Abstract | ||
| Background: Congenital lobar emphysema (CLE) is relatively an uncommon congenital lung malformation presenting with respiratory distress of varying severity mostly during the neonatal or the infantile period due to air trapping in the affected lobe or lobes. Aim: The authors review surgical experience in this congenital malformation; the simplest way of diagnosis and the standard treatment of choice in addition to the comparison of this study with other international studies. Patients and Methods: Eighteen patients with congenital lobar emphysema were successfully managed during a ten years period (1999-2008) at the Thoracic Department of the Medical City Teaching Hospital in Baghdad, Iraq. Results: These patients were studied according to their age, sex distribution, presenting symptoms, physical findings, and methods of diagnosis, surgical treatment, thoracotomy findings and the postoperative outcome. Conclusion: Though the diagnosis can be accomplished by chest X-Ray in the upright position, the use of a more advance technology has resulted in the early identification and serial evaluation of this congenital anomaly and the treatment of choice is surgery, as lobectomy of the involved lobe offers the best chance of cure. | ||
| Keywords | ||
| Congenital lobar emphysema CLE; lobectomy; bilobectomy | ||
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