Open AccessCongenital lobar emphysema: Challenges in diagnosis and ventilation
Author(s) -
Manjunath Prabhu,
Tim Thomas Joseph
Publication year - 2012
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.108326
Subject(s) - medicine , congenital lobar emphysema , mediastinal shift , atelectasis , respiratory distress , air trapping , ventilation (architecture) , lung , positive pressure ventilation , intensive care medicine , respiratory system , radiology , mechanical engineering , engineering
Congenital lobar emphysema (CLE) is a rare congenital anomaly of lung causing over aeration of one or more lobes of a histologically normal lung. It presents in infancy with respiratory distress due to compression atelectasis and often associated with mediastinal shift and hypotension. CLE poses a challenge in diagnosis and positive pressure ventilation due to air trapping. We report a case of 8-week-old infant with CLE posted for right lobectomy. Strategies to prevent misdiagnosis, over aeration and use of IPPV have been reviewed.