A Case of Congenital Lobar Emphysema.

Oh,  Dong Hwan; Shin,  Eun Sil; Kim,  Jin Guk; Lee,  In Hoon; Nam,  Byung Do; Choi,  Pil Jo

Case Report

Journal of the Korean Society of Neonatology 1998;5(1):67-71.
Published online January 1, 2001.

A Case of Congenital Lobar Emphysema.

Dong Hwan Oh, Eun Sil Shin, Jin Guk Kim, In Hoon Lee, Byung Do Nam, Pil Jo Choi

Abstract

Congenital lobar emphysema has the clinical features of an air block' syndrome with- out the evidence of pulmonary infection or intrabronchial foreign body. The hyperinflated lung causes a compression of uninvolved lobes creating respiratory distress, cyanosis within the first weeks of life. We experienced a case of congenital lobar emphysema diagnosed incidentally by chest reontgenogram in an infant with frequent upper respiratory infection within a few weeks of life. Chest X-ray revealed extensive emphysematous changes in the left upper lobe, shifting of heart and medistinum to the right and compression of the right lung. Respiratory distress, cyanosis and chest wall retraction ensued and left upper lobe Lobectomy was performed successfully.

Key Words: Congenital Lobar mphysema