title: [Congenital pulmonary malformations: clinical, radiological and treatment features].
abstract: BACKGROUND
  Congenital broncho-pulmonary malformations (CBM) are rare, essentially presented by congenital lobar emphysema, bronchogenic cysts, pulmonary sequestrations and cystic adenomatoid malformations. The diagnosis can be in prenatal. In postnatal, symptoms are variable. Radiological investigations lead to diagnosis in all cases.
  
  
  OBJECTIVE
  To study the principal clinic, radiologic and therapeutic of the congenital broncho-pulmonary malformations through ten cases.
  
  
  METHODS
  Retrospective study of 10 cases of congenital bronchopulmonary malformations diagnosed between 2003 and 2010 in our institution.
  
  
  RESULTS
  The mean ages at the time of diagnosis is 2 months (4 days to 16 months). The sex ratio is 1. The symptoms consisted of recurrent pneumonia in 4 cases, respiratory distress in 2cases, bronchiolite in 2 cases and 2 cases of antenatal diagnosis. All patients have a chest X-ray, night patients have a chest computerized tomography and one patient has a bronchial endoscopy. Ten cases of BPM have been investigated: five congenitals lobar emphysema, tow pulmonary sequestrations, tow cystic adénomatoid malformation and one bronchogenic cyst. Eight patients required surgical treatment involving pneumonectomy (1 case), lobectomy (5 cases),segmentectomy (1 case) and in 1 case the pulmonary sequestration was treated by ligature of the anomalous artery with pulmonary resection. The histopathological examination confirmed the diagnosis in all cases. The postoperative period was uneventful in 8 cases with a mean of follow-up of 2 years (5 months to 5years). Tow patient died after surgical treatment.
  
  
  CONCLUSIONS
  The diagnosis of BPM malformations can be clinical, confirmed by radiological investigations. The improvement in prenatal ultrasound diagnosis modified the management strategy. The treatment varies frome attitude conservatrice to pneumonectomy.
authors: Service de chirurgie pédiatrique, hôpital Habib Thameur, Tunis, Tunisie, Faculté de Médecine de Tunis, Université Tunis El Manar.
authors: Rabiaa
authors: R
authors: Ben Abdallah
authors: Habib
authors: H
authors: Bouthour
authors: Youssef
authors: Y
authors: Hellal
authors: Mohamed Riadh
authors: MR
authors: Ben Malek
authors: Youssef
authors: Y
authors: Gharbi
authors: Nejib
authors: N
authors: Kaabar
mesh_terms: D000013:Congenital Abnormalities / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008168:Lung / Q000002:abnormalities*; D008297:Male; D011859:Radiography; D012189:Retrospective Studies