Congenital lobar emphysema

Case contributed by Dr Andrew Dixon

Presentation

Respiratory distress.

Patient Data

Age: Neonate (day 22)
X-ray

Hyperexpanded right middle lobe with compressive atelectasis of the right upper and lower lobes. There is contralateral mediastinal shift.

The NGT tube is in the distal esophagus, needs to be advanced further. 

 

Case Discussion

Hyperexpanded right middle lobe with compressive atelectasis of the right upper and lower lobes.  There is contralateral mediastinal shift.

Findings suggest right middle lobe congenital lobar emphysema. The right middle lobe is the second most common location for this condition (~30%) with left upper lobe involvement being most common (40-45%).

It is also always important to check the position of lines and tubes in neonates (as with adults). In this case the NGT tip is within the distal oesophagus and requires further insertion.

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Case information

rID: 10735
Case created: 14th Sep 2010
Last edited: 10th Dec 2016
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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