eMedicine Specialties > Radiology > Pediatrics
Congenital Lobar Emphysema: Follow-up
Updated: Dec 1, 2008
Intervention
Medicolegal Pitfalls
- Failure to schedule regular follow-up visits to ensure that pulmonary status does not worsen (if the decision is made to monitor congenital lobar emphysema [CLE]).
- Failure to carefully follow up with children with lower respiratory infection. This is important, as repeated infection may cause damage in an already overexpanded lobe of the lung.
- Failure to inform parents of the presence and potential complications of CLE. The presenting lobe may be the worst of a group of malacic bronchi, so even after definitive surgery, some children may continue with wheezing and prolonged expiratory phase with symptomatic additional small airway disease.
More on Congenital Lobar Emphysema |
| Overview: Congenital Lobar Emphysema |
| Imaging: Congenital Lobar Emphysema |
Follow-up: Congenital Lobar Emphysema |
| Multimedia: Congenital Lobar Emphysema |
| References |
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References
Choudhury SR, Chadha R, Mishra A, Kumar V, Singh V, Dubey NK. Lung resections in children for congenital and acquired lesions. Pediatr Surg Int. Sep 2007;23(9):851-9. [Medline].
Lin YC, Chang YK, Lu D, Shih TY. Congenital lobar emphysema mimicking cystic mass in a newborn. Acta Paediatr Taiwan. Jul-Aug 2007;48(4):220-2. [Medline].
Rothenberg SS. First decade's experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg. Jan 2008;43(1):40-4; discussion 45. [Medline].
Chia CC, Huang SC, Liu MC, Se TY. Fetal congenital lobar emphysema. Taiwan J Obstet Gynecol. Mar 2007;46(1):73-6. [Medline].
Eber E. Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery, or no surgery?. Semin Respir Crit Care Med. Jun 2007;28(3):355-66. [Medline].
Azizkhan RG, Crombleholme TM. Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int. Jun 2008;24(6):643-657. [Medline].
Farrugia MK, Raza SA, Gould S, Lakhoo K. Congenital lung lesions: classification and concordance of radiological appearance and surgical pathology. Pediatr Surg Int. Sep 2008;24(9):987-91. [Medline].
Doull IJ, Connett GJ, Warner JO. Bronchoscopic appearances of congenital lobar emphysema. Pediatr Pulmonol. Mar 1996;21(3):195-7. [Medline].
Congenital Lobar Emphysema. Virtual Children's Hospital, University of Iowa. http://indy.radiology.uiowa.edu/Providers. May 13, 1998.
Koontz CS, Oliva V, Gow KW, Wulkan ML. Video-assisted thoracoscopic surgical excision of cystic lung disease in children. J Pediatr Surg. May 2005;40(5):835-7. [Medline].
Lacy DE, Shaw NJ, Pilling DW, Walkinshaw S. Outcome of congenital lung abnormalities detected antenatally. Acta Paediatr. Apr 1999;88(4):454-8. [Medline].
Schwartz MZ, Ramachandran P. Congenital malformations of the lung and mediastinum--a quarter century of experience from a single institution. J Pediatr Surg. Jan 1997;32(1):44-7. [Medline].
Further Reading
Keywords
congenital lobar emphysema, CLE, emphysema, hyperexpansion of a lobe, lung herniation, polyalveolar emphysema, hypoalveolar emphysema
Follow-up: Congenital Lobar Emphysema