Bubbly intrapleural mucous simulating congenital lobar emphysema.
A neonate presented for an esophageal atresia repair and developed respiratory distress in the immediate post-operative period. The initial conventional chest radiographs suggested that there was a right sided pneumothorax; however, this did not resolve, even after the placement of two chest tubes. A CT examination suggested that the findings were due to hyperinflation of the right upper lobe. Thoracoscopy was performed and revealed a complex pneumothorax composed of bubbly mucous from a post-operative pleuro-esophageal fistula.
McGinnis
H D
HD
Department of Radiology, Massachusetts General Hospital, Boston 02114.
Blickman
J G
JG
D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004933:Esophageal Atresia / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011030:Pneumothorax / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011656:Pulmonary Emphysema / Q000151:congenital* / Q000000981:diagnostic imaging*; D011859:Radiography