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An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax

Congenital lobar emphysema (CLE) is a developmental anomaly of the lower respiratory tract characterized by hyperinflation of one or more pulmonary lobes in the absence of extrinsic bronchial obstruction. We present a case of a 24-year-old male, nonsmoker who presented with shortness of breath and s...

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Autores principales: Asnake, Zekarias T., Salabei, Joshua K., Pierce, Jordan, Fernandez, Angela, Ahmad, Ramin, Ismail, Zeeshan H., Mathew, Calestino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326181/
https://www.ncbi.nlm.nih.gov/pubmed/34367905
http://dx.doi.org/10.1016/j.rmcr.2021.101435
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author Asnake, Zekarias T.
Salabei, Joshua K.
Pierce, Jordan
Fernandez, Angela
Ahmad, Ramin
Ismail, Zeeshan H.
Mathew, Calestino
author_facet Asnake, Zekarias T.
Salabei, Joshua K.
Pierce, Jordan
Fernandez, Angela
Ahmad, Ramin
Ismail, Zeeshan H.
Mathew, Calestino
author_sort Asnake, Zekarias T.
collection PubMed
description Congenital lobar emphysema (CLE) is a developmental anomaly of the lower respiratory tract characterized by hyperinflation of one or more pulmonary lobes in the absence of extrinsic bronchial obstruction. We present a case of a 24-year-old male, nonsmoker who presented with shortness of breath and severe left sided chest pain. A chest x-ray was significant for a very large left-sided pneumothorax and chest CT showed lobar emphysematous changes. Video assisted thoracoscopic surgery (VATS) and lobectomy was subsequently performed after persistence of pneumothorax despite chest tube insertion and conservative management. Surgical pathology of resected specimen showed chronic emphysematous changes with patchy chronic organizing pneumonitis. Histology showed advanced emphysematous changes of pulmonary parenchyma consistent with congenital lobar emphysema. This finding combined with features seen on computed tomography of the chest led to the diagnosis of congenital lobar emphysema. This case demonstrated that CLE can be a cause of tension pneumothorax in adults in rare cases.
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spelling pubmed-83261812021-08-06 An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax Asnake, Zekarias T. Salabei, Joshua K. Pierce, Jordan Fernandez, Angela Ahmad, Ramin Ismail, Zeeshan H. Mathew, Calestino Respir Med Case Rep Case Report Congenital lobar emphysema (CLE) is a developmental anomaly of the lower respiratory tract characterized by hyperinflation of one or more pulmonary lobes in the absence of extrinsic bronchial obstruction. We present a case of a 24-year-old male, nonsmoker who presented with shortness of breath and severe left sided chest pain. A chest x-ray was significant for a very large left-sided pneumothorax and chest CT showed lobar emphysematous changes. Video assisted thoracoscopic surgery (VATS) and lobectomy was subsequently performed after persistence of pneumothorax despite chest tube insertion and conservative management. Surgical pathology of resected specimen showed chronic emphysematous changes with patchy chronic organizing pneumonitis. Histology showed advanced emphysematous changes of pulmonary parenchyma consistent with congenital lobar emphysema. This finding combined with features seen on computed tomography of the chest led to the diagnosis of congenital lobar emphysema. This case demonstrated that CLE can be a cause of tension pneumothorax in adults in rare cases. Elsevier 2021-05-31 /pmc/articles/PMC8326181/ /pubmed/34367905 http://dx.doi.org/10.1016/j.rmcr.2021.101435 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Asnake, Zekarias T.
Salabei, Joshua K.
Pierce, Jordan
Fernandez, Angela
Ahmad, Ramin
Ismail, Zeeshan H.
Mathew, Calestino
An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title_full An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title_fullStr An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title_full_unstemmed An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title_short An atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
title_sort atypical case of congenital lobar emphysema in an adult, non-smoker patient presenting with pneumothorax
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326181/
https://www.ncbi.nlm.nih.gov/pubmed/34367905
http://dx.doi.org/10.1016/j.rmcr.2021.101435
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