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Konjenital lober amfizem: olgu sunumu

Year 2021, , 321 - 323, 20.09.2021
https://doi.org/10.54005/geneltip.996943

Abstract

Konjenital lober amfizem, alt solunum yollarında hiperinflasyon ile karakterize nadir rastlanan akciğerin doğumsal bir anomalisidir. Konjenital lober amfizemli hastalarda klinik seyir, hastalığın ortaya çıktığı yaşa, etkilenen loba veya normal lobların baskılanmasına bağlı olarak değişebilir. Tanısı klinik ve görüntüleme yöntemleri ile birlikte konulur. Semptomları hafif olan olgular konservatif tedavi ile izlenirken, ağır solunum semptomu olan olguların lobektomi ile tedavisi iyi sonuçlar vermektedir. Konjenital lober amfizem, nadir görülen bir akciğer anomalisi olmasına rağmen, nedeni bilinmeyen solunum sıkıntısı olan hastalarda ayırıcı tanıda göz önünde bulundurulması gereken bir hastalıktır. Bu yazıda erken dönemde konjenial lober amfizem tanısı konulan, hafif semptomları olması nedeniyle de konservatif tedavi yöntemleri ile izlenilen 4 aylık kız hasta sunulmaktadır.

References

  • Thakral CL, Maji DC, Sajwani MJ. Congenital lobar emphysema: experience with 21 cases. Pediatr Surg Int 2001;17:88-91.
  • Özçelik U, Göçmen A, Kiper N, Doğru D, Dilber E, Yalçın EG. Congenital lobar emphsema: evaluation and long-term follow up thirty cases at a single centre. Pediatr Pulmonol 2003;35:384-91.
  • Celik M, Dostbil A, Aksoy M, et al. Anesthetic management in children with congenital lobar emphysema. Acta Chir Belg 2015;115:279-83.
  • Salzberg AM, Krummel TM. Congenital malformations of the lower respiratory tract. In: Chernick V, Kendig EL, eds. Kendig’s disorders of the respiratory tract in children. 5th ed. Philadelphia: W.B. Saunders Co; 1990:227-67.
  • Reynolds M. Congenital lesions of the lung. In: Shields TW, Locicero III J, Reed CE, Feins RH, eds. General thoracic surgery, Vol 1, 7th ed. Philadelphia: Lippincott Williams&Wilkins; 2009:1017-32. Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg 2006;4:1058-61.
  • Karnak I, Senocak ME, Ciftci AO, Büyükpamukçu N. Congenital lobar emphysema: diagnostic and therapeutic considerations. J Pediatr Surg 1999;34:1347-51.
  • Blau H, Barak A, Karmazyn B, et al. Postnatal management of resolving fetal lung lesions. Pediatr 2002;109:105-8.
  • Quinton AE, Smoleniec JS. Congenital lobar emphysema-the disappearing chest mass: antenatal ultrasound appearance. Ultrasound Obstet Gynecol 2001;17:169-71.
  • Olutoye OO, Coleman BG, Hubbard AM, Adzick NS. Prenatal diagnosis and management of congenital lobar emphysema. J Pediatr Surg 2000; 35:792-5.
  • Berrocal T, Madrid C, Novo S, Gutiérrez J, Arjonilla A, Gómez-León N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 2004;24:e17.
  • Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg 2006;41:1058-61.
  • Ozçelik U, Göçmen A, Kiper N, Doğru D, Dilber E, Yalçin EG. Congenital lobar emphysema: evaluation and long-term follow-up of thirty cases at a single center. Pediatr Pulmonol 2003;35:384-91.
  • Tempe DK, Virmani S, Javetkar S, Banerjee A, Puri SK, Datt V. Congenital lobar emphysema: pitfalls and management. Ann Card Anaesth 2010;13:53-8.
  • Williams HJ, Johnson KJ. Imaging of congenital cystic lung lesions. Paediatr Respir Rev 2002;3:120-7.
  • Mauney FM, Sabiston DC. The role of pulmonary scanning in the diagnosis of congenital lobar emphysema. Am Surg 1970;36:20-7.
  • Padilla L, Orzel JA, Kreins CM, Weiland FL. Congenital lobar emphysema: segmental lobar involvement demonstrated on ventilation and perfusion imaging. J Nucl Med 1985;26:1343-4.
  • Oates E, Sarno RC. Solubilized xenon 133 lung scintigraphy. J Pediatr Surg 1988;23:1002-4.
  • Markowitz RI, Mercurio MR, Vahjen GA, Gross I, Touloukian RJ. Congenital lobar emphysema. The roles of CT and V/Q scan.Clin Pediatr (Phila) 1989;28:19-23.
  • Ulku R, Onat S, Ozçelik C. Congenital lobar emphysema: differential diagnosis and therapeutic approach. Pediatr Int 2008;50:658-61 .
  • Karnak I, Senocak ME, Ciftci AO, Büyükpamukçu N. Congenital lobar emphysema: diagnostic and therapeutic considerations. J Pediatr Surg 1999;34:1347-51.
  • Murray GF, Talbert JL, Haller JA. Obstructive lobar emphysema of the newborn infant. Documentation of the “mucus plug syndrome” with successful treatment by bronchotomy. J Thorac Cardiovas Surg 1967;53:886-90.
  • Cooney DR, Menke JA, Allen JE. “Acquired” lobar emphysema: a complication of respiratory distress in premature infants. J Pediatr Surg 1977;12:897-904.
  • Ulku R, Onat S, Ozçelik C. Congenital lobar emphysema: differential diagnosis and therapeutic approach. Pediatr Int 2008; 50:658-61.

Congenital lobar emphysema: a case report

Year 2021, , 321 - 323, 20.09.2021
https://doi.org/10.54005/geneltip.996943

Abstract

Congenital lobar emphysema is a rare congenital anomaly of the lung characterized by hyperinflation of the lower respiratory tract. In patients with congenital lobar emphysema, the clinical course may vary depending on the age at which the disease occurs, suppression of the affected lobe or normal lobes. Diagnosis is made together with clinical and imaging methods. While the patients with mild symptoms are followed with conservative treatment, the treatment of patients with severe respiratory symptoms with lobectomy gives good results. Although congenital lobar emphysema is a rare lung anomaly, it should be considered in the differential diagnosis in patients with unresolved respiratory distress. In this article, we present a 4-month-old girl who was diagnosed with congenial lobar emphysema in the early period and who was followed with conservative treatment because of mild symptoms

References

  • Thakral CL, Maji DC, Sajwani MJ. Congenital lobar emphysema: experience with 21 cases. Pediatr Surg Int 2001;17:88-91.
  • Özçelik U, Göçmen A, Kiper N, Doğru D, Dilber E, Yalçın EG. Congenital lobar emphsema: evaluation and long-term follow up thirty cases at a single centre. Pediatr Pulmonol 2003;35:384-91.
  • Celik M, Dostbil A, Aksoy M, et al. Anesthetic management in children with congenital lobar emphysema. Acta Chir Belg 2015;115:279-83.
  • Salzberg AM, Krummel TM. Congenital malformations of the lower respiratory tract. In: Chernick V, Kendig EL, eds. Kendig’s disorders of the respiratory tract in children. 5th ed. Philadelphia: W.B. Saunders Co; 1990:227-67.
  • Reynolds M. Congenital lesions of the lung. In: Shields TW, Locicero III J, Reed CE, Feins RH, eds. General thoracic surgery, Vol 1, 7th ed. Philadelphia: Lippincott Williams&Wilkins; 2009:1017-32. Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg 2006;4:1058-61.
  • Karnak I, Senocak ME, Ciftci AO, Büyükpamukçu N. Congenital lobar emphysema: diagnostic and therapeutic considerations. J Pediatr Surg 1999;34:1347-51.
  • Blau H, Barak A, Karmazyn B, et al. Postnatal management of resolving fetal lung lesions. Pediatr 2002;109:105-8.
  • Quinton AE, Smoleniec JS. Congenital lobar emphysema-the disappearing chest mass: antenatal ultrasound appearance. Ultrasound Obstet Gynecol 2001;17:169-71.
  • Olutoye OO, Coleman BG, Hubbard AM, Adzick NS. Prenatal diagnosis and management of congenital lobar emphysema. J Pediatr Surg 2000; 35:792-5.
  • Berrocal T, Madrid C, Novo S, Gutiérrez J, Arjonilla A, Gómez-León N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 2004;24:e17.
  • Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg 2006;41:1058-61.
  • Ozçelik U, Göçmen A, Kiper N, Doğru D, Dilber E, Yalçin EG. Congenital lobar emphysema: evaluation and long-term follow-up of thirty cases at a single center. Pediatr Pulmonol 2003;35:384-91.
  • Tempe DK, Virmani S, Javetkar S, Banerjee A, Puri SK, Datt V. Congenital lobar emphysema: pitfalls and management. Ann Card Anaesth 2010;13:53-8.
  • Williams HJ, Johnson KJ. Imaging of congenital cystic lung lesions. Paediatr Respir Rev 2002;3:120-7.
  • Mauney FM, Sabiston DC. The role of pulmonary scanning in the diagnosis of congenital lobar emphysema. Am Surg 1970;36:20-7.
  • Padilla L, Orzel JA, Kreins CM, Weiland FL. Congenital lobar emphysema: segmental lobar involvement demonstrated on ventilation and perfusion imaging. J Nucl Med 1985;26:1343-4.
  • Oates E, Sarno RC. Solubilized xenon 133 lung scintigraphy. J Pediatr Surg 1988;23:1002-4.
  • Markowitz RI, Mercurio MR, Vahjen GA, Gross I, Touloukian RJ. Congenital lobar emphysema. The roles of CT and V/Q scan.Clin Pediatr (Phila) 1989;28:19-23.
  • Ulku R, Onat S, Ozçelik C. Congenital lobar emphysema: differential diagnosis and therapeutic approach. Pediatr Int 2008;50:658-61 .
  • Karnak I, Senocak ME, Ciftci AO, Büyükpamukçu N. Congenital lobar emphysema: diagnostic and therapeutic considerations. J Pediatr Surg 1999;34:1347-51.
  • Murray GF, Talbert JL, Haller JA. Obstructive lobar emphysema of the newborn infant. Documentation of the “mucus plug syndrome” with successful treatment by bronchotomy. J Thorac Cardiovas Surg 1967;53:886-90.
  • Cooney DR, Menke JA, Allen JE. “Acquired” lobar emphysema: a complication of respiratory distress in premature infants. J Pediatr Surg 1977;12:897-904.
  • Ulku R, Onat S, Ozçelik C. Congenital lobar emphysema: differential diagnosis and therapeutic approach. Pediatr Int 2008; 50:658-61.
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Case Report
Authors

Aylin Kont Özhan This is me

Okan Dilek This is me

Zerrin Özçelik This is me

Ali Orgun This is me

Orkun Tolunay This is me

Publication Date September 20, 2021
Submission Date September 4, 2019
Published in Issue Year 2021

Cite

Vancouver Kont Özhan A, Dilek O, Özçelik Z, Orgun A, Tolunay O. Konjenital lober amfizem: olgu sunumu. Genel Tıp Derg. 2021;31(3):321-3.