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一例在成年早期表现为反复肺炎的先天性大叶性肺气肿罕见病例:病例报告及文献综述

A rare case of congenital lobar emphysema presenting as recurrent pneumonia in early adulthood: A case report and literature review.

作者信息

Alrahil Ali, Aljanadi Mazen, Alslaiman Rand, Mahjaa Mohammad Tahsen, Alfandi Abdullah, Absa Ahmad Abo

机构信息

Department of Thoracic Surgery, Damascus Hospital, Damascus, Syria.

Department of Thoracic Surgery, Damascus Hospital, Damascus, Syria.

出版信息

Int J Surg Case Rep. 2024 Jul;120:109852. doi: 10.1016/j.ijscr.2024.109852. Epub 2024 Jun 8.

Abstract

INTRODUCTION AND SIGNIFICANCE

Congenital lobar emphysema (CLE) is a rare but important lung malformation typically discovered in the newborn period. Some rare cases are reported in adults. It can present with various respiratory symptoms. Diagnosis relies primarily on chest CT scans, and the main treatment is surgery.

CASE PRESENTATION

We present a case of a young girl with recurrent respiratory infections who was misdiagnosed with a pneumothorax. A chest tube was inserted. Later, CLE was identified, and the affected lung lobe was surgically removed.

CLINICAL DISCUSSION

This case highlights the importance of including CLE in the differential diagnosis for hyperinflation of a lung lobe. A CT scan is crucial for confirmation.

CONCLUSION

Congenital lobar emphysema is a rare disease that primarily affects children. Most children with CLE experience symptoms and require surgery. In adults, CLE is uncommon, and surgery is based on the severity of symptoms and radiological findings.

摘要

引言与意义

先天性肺叶气肿(CLE)是一种罕见但重要的肺部畸形,通常在新生儿期被发现。成人中也有一些罕见病例报道。它可表现出各种呼吸道症状。诊断主要依靠胸部CT扫描,主要治疗方法是手术。

病例介绍

我们报告一例反复呼吸道感染的年轻女孩,最初被误诊为气胸并插入了胸管。后来确诊为CLE,并对受影响的肺叶进行了手术切除。

临床讨论

该病例强调了在肺叶过度充气的鉴别诊断中纳入CLE的重要性。CT扫描对于确诊至关重要。

结论

先天性肺叶气肿是一种主要影响儿童的罕见疾病。大多数CLE患儿有症状且需要手术。在成人中,CLE不常见,手术取决于症状的严重程度和影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa4/11209009/17a12a3dadfe/gr1.jpg

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