Abstract
This paper reviews three cases of congenital lobar emphysema from Saudi Arabia, seen over a period of three years. All were boys aged 2.5, 7 and 8 months, and recurrent attacks of chest infection, which started during the early neonatal period, were the main presentation. In all cases, diagnosis was confirmed by chest x-ray. Two of them had a lobectomy and made a good recovery. Operation was refused in the third. The clinicopathological features, diagnosis and management are discussed. An outline of the anaesthetic management is also discussed briefly.
Abstract
On revoil trois cas d’emphysème lobaire congénital, vus dans une période de trois ans. Tous étaient des garçons âgés de 2.5, 7 et 8 mois, avec des épisodes récurrents d’infection pulmonaire qui ont commencé tôt dans la période néonatale. Dans tous les cas, le diagnostic fut confirmé par le rayon-x pulmonaire. Deux ont eu une lobectomie et ont bien récupéré. L’opération fut refusée par le troisième. Les critères clinicopathologigues, le diagnostic et la conduite sont discutés. Une revue de la conduite anesthésiques est aussi discutée brièvement.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Murray GF. Congenital lobar emphysema. Surg Gynecol Obstet 1967; 124: 611–25.
Raynor AC, Cap MP, Sealy WC. Lobar emphysema of infancy; diagnosis, treatment and ctiological aspects. Ann Thorac Surg 1967; 4: 374–85.
Rickham PP, Lister J, Irving IM. Neonatal Surgery. 2nd ed. London: Butterworth, 1978, 215–9.
Hendren WH, McKee DM. Lobar emphysema of infancy. J Pediatr Surg 1966; 1: 24–9.
Leape LL, Longino LA. Infantile lobar emphysema. Pediatrics 1964; 34: 246–55.
Myers NA. Congenital lobar emphysema. Aust NZ J Surg 1969; 30: 32–5.
May RL, Meese EH, Times JJ. Congenital lobar emphysema: case report of bilateral involvement. J Thorac Cardiovasc Surg 1964; 48: 850–4.
Gross RE, Lewis JE. Defect of the anterior mediastinum. Surg Gynecol Obstet 1945; 80: 549–54.
Rickham FC, Rosenkrantz JG. Thoracic surgical problems in infancy and childhood; congenital lobar emphysema. Surg Clin North Am 1985; 65: 1434–6.
Tapper D, Schuster S, McBride J et al. Polyalveolar lobe: anatomic and physiological parameters and their relationship to congenital lobar emphysema. J Pediatr Surg 1980; 15: 931–7.
Korngold HW, Baker JM. Nonsurgical treatment of unilobar obstructive emphysema of the newborn. Pediatrics 1954, 14: 296.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Al-Salem, A.H., Adu-Gyamfit, Y. & Grant, C.S. Congenital lobar emphysema. Can J Anaesth 37, 377–379 (1990). https://doi.org/10.1007/BF03005595
Issue Date:
DOI: https://doi.org/10.1007/BF03005595