Congenital lobar emphysema used to be treated surgically. Congenital lobar hyperinflation is the currently recommended term, as it involves pathologically healthy lung tissue, which is why conservative management may be an option. Four cases of diagnosed congenital lobar hyperinflation are presented in which conservative treatment was chosen due to their clinical stability. Their outcome has be...

A 33-year-old woman at 23 weeks of gestational age was referred for consultation due to the findings of a cyst in the right lung of the fetus. Prenatal ultrasound showed a 3 cm-sized hypoechogenic cyst, suggesting congenital cystic adenomatoid malformation. As the cyst grew and compressed the heart, serial cyst aspirations were performed. The cyst was proved to be congenital lobar emphysema on ...

Regional obstructive emphysema is not uncommon and is due in most cases to obstruction of a bronchus by secretions, tumour, foreign body or glands. Cohen (1943) described such a condition in association with a bronchial carcinoma and Spivek (1936) mentioned a similar picture in connexion with tuberculous glands. In such cases, however, the obstruction is usually progressive and leads finally to...

43 patients with congenital lobar emphysema were treated surgically at the Thoracic Unit, Hospital for Sick Children, Great Ormond Street, London, between 1954 and 1974. Nearly half of the infants had additional congenital anomalies. 7 children died after operation.

Congenital lobar emphysema is an uncommon bronchopulmonary malformation characterized by lobar overinflation and accompanying alveolar septum damage that leads to compression atelectasis of the lung parenchyma and displacement of mediastinal structures, with the resultant ventilation-perfusion mismatch. We present a case of a 33-year-old lady with progressive exertional dyspnea. Chest radiograp...

The term congenital lobar emphysema was used by Robertson and James (1951) to denote infantile emphysema when pulmonary infection or intrabronchial foreign bodies are absent. Although in most instances only one lobe is affected, a few patients have emphysema of more than one lobe or subsequently develop emphysema of a second lobe (Kernan, 1944; Ehrenhaft and Taber, 1953; Sloan, 1953; Potts, Hol...

Congenital thoracic malformations constitute a heterogeneous group of developmental disorders, involving lung parenchyma, arterial supply, and venous drainage.(1) Their etiology is embryologic, and their clinical presentation and severity vary according to the degree of pulmonary involvement and their location in the thoracic cavity.(2) They can be asymptomatic—their diagnosis being based on in...

A two-year-old castrated male Pomeranian dog was referred with the chief complaints of coughing and subcutaneous emphysema. On physical examination, the crepitant areas were palpable. When auscultated, the right chest was absent of respiratory sound, while the sound of the opposite side was enhanced. Radiographs presented pneumothorax and pneumomediastinum. On computed tomography, hypoattenuate...

background congenital pulmonary lesions may be diagnosed through ultrasonographic screenings or be revealed as causes of respiratory distress in the neonatal period and infancy. less commonly, they are detected as incidental features. objectives our study represents the diversity of congenital pulmonary lesions and their characteristics during an 11-year period in a referral teaching children’s...