Flexible bronchoscopy in the management of congenital lobar emphysema in the neonate.
This paper describes the case of a 3 kg neonate who had congenital lobar emphysema of the left upper lobe (LUL). He was in severe respiratory distress with a fraction of inspired oxygen of 0.8. Chest x-ray showed hyperlucent expanded left hemithorax and marked mediastinal shift. Following flexible bronchoscopy and introduction of ultrathin bronchoscope into the LUL bronchus, symptoms and chest x-ray improved markedly. Flexible bronchoscopy resulted in emergency relief of his initial respiratory distress, and left upper lobe lobectomy was performed electively three days later.
Phillipos
E Z
EZ
Children's Health Centre, University of Alberta Hospital, Edmonton, Canada. ephillip@gpu.srv.ualberta.ca
Libsekal
K
K
D001999:Bronchoscopy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011656:Pulmonary Emphysema / Q000151:congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography