Congenital Lobar Emphysema in a newborn. Case report

Authors

  • María Soledad Ordoñez Velecela Médica. Especialista en Cirugía General. Libre ejercicio. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0002-1254-0595
  • Jorge Alejandro Arteaga Huiracocha Médico. Postgradista de la Universidad de Cuenca. Especialidad Cirugía General. Cuenca-Azuay-Ecuador.
  • Luis Enrique Marcano Sanz Doctor en Medicina. Especialista de primer grado en Cirugía Pediátrica y Cirugía Cardiovascular. Hospital Vicente Corral Moscoso. Servicio de Pediatría. Cirugía Pediátrica. Cuenca-Azuay-Ecuador.
  • Miurkis Endis Miranda Doctora en Medicina. Especialista de primer grado en Cirugía Pediátrica. Hospital Vicente Corral Moscoso. Jefe del Servicio de Pediatría. Cirugía Pediátrica. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0002-0299-2037

DOI:

https://doi.org/10.18537/RFCM.39.02.10

Keywords:

bronchopulmonary dysplasia, live births, airway obstruction, diagnostic imaging, lung

Abstract

Introduction: Congenital Lobar Emphysema (CLE) is an infrequent respiratory malformation that occurs with hyperinflation and irreversible septal destruction, it is associated with a partial bronchial obstruction; there are cases where no airway alterations have been found.

Clinical case: It is a case of a newborn, male, with no relevant history, at 5 minutes of life the baby presents non-reversible respiratory distress, being transferred to neonatology. The evolution is torpid with mechanical ventilation for 40 days, without the possibility of extubation. The pediatric surgery service raised suspicion of CLE, planning a thoracotomy and revealing a non-expandable emphysematous right middle lobe that was finally resected. Due to a favorable evolution, discharge is raised at 57 days of life.

Conclusion: CLE is a rare entity, it represents a challenge for pediatric surgeons and neonatologists; whose diagnosis and early surgical treatment determine a better prognosis.

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Author Biographies

Luis Enrique Marcano Sanz , Doctor en Medicina. Especialista de primer grado en Cirugía Pediátrica y Cirugía Cardiovascular. Hospital Vicente Corral Moscoso. Servicio de Pediatría. Cirugía Pediátrica. Cuenca-Azuay-Ecuador.

Cirujano pediatra cardio-torácico. Hospital Vicente Corral Moscoso.

Miurkis Endis Miranda , Doctora en Medicina. Especialista de primer grado en Cirugía Pediátrica. Hospital Vicente Corral Moscoso. Jefe del Servicio de Pediatría. Cirugía Pediátrica. Cuenca-Azuay-Ecuador.

Cirujana digestiva pediátrica. Hospital Vicente Corral Moscoso.

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Published

2021-09-22

Issue

Vol. 39 No. 2 (2021): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

License

Copyright (c) 2021 María Soledad Ordoñez Velecela , Jorge Alejandro Arteaga Huiracocha , Luis Enrique Marcano Sanz , Miurkis Endis Miranda

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