NDLI: Unilateral Obstructive Emphysema in Infancy due to Mediastinal Bronchogenic Cyst-Diagnostic Challenge and Management.

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Unilateral Obstructive Emphysema in Infancy due to Mediastinal Bronchogenic Cyst-Diagnostic Challenge and Management.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vimala, Leena Robinson Kishore, Jeenapalli Srinivasa Lionel, Arul Premanand Navamani, Kirubakaran Sathya, Ravi Kishore Barla Sri
Description	Country affiliation: India Author Affiliation: Vimala LR ( Assistant Professor, Department of Radiology, Christian Medical College , Vellore, Tamil Nadu, India .); Sathya RK ( Associate Professor, Department of Pediatric Surgery, Christian Medical College , Vellore, Tamil Nadu, India .); Lionel AP ( Assistant Professor, Department of Pediatrics, Christian Medical College , Vellore, Tamil Nadu, India .); Kishore JS ( Resident, Department of Pediatric Surgery, Christian Medical College , Vellore, Tamil Nadu, India .); Navamani K ( Resident, Department of Pediatrics, Christian Medical College , Vellore, Tamil Nadu, India .)
Abstract	Bronchogenic cysts are the most common cystic mediastinal lesion in children. Bronchogenic cyst causing unilateral obstructive emphysema is a rare presentation. We report the case of a one and half month old infant who presented with respiratory distress which was initially suspected as left pneumothorax on frontal chest radiograph but was later found to be due to hyperinflated left lung and hence the possibility of congenital lobar emphysema was considered. CT thorax and limited MRI sections revealed a cystic lesion in mediastinum causing obstructive emphysema and mediastinal displacement. He underwent an emergency thoracotomy and excision of the cyst via an extrapleural approach. Post operatively, rapid improvement of the infant was noticed both clinically as well as radiologically. Cross sectional imaging like CT or MR is required for reaching the correct and early diagnosis in paediatric patients with respiratory distress, when there is diagnostic dilemma based on chest radiograph.
ISSN	2249782X
e-ISSN	0973709X
DOI	10.7860/JCDR/2015/13463.5872
Journal	JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Issue Number	5
Volume Number	9
Language	English
Publisher	Dr. Hemant Jain (for Premchand Shantidevi Research Foundation)
Publisher Date	2015-05-01
Publisher Place	India
Access Restriction	Open
Subject Keyword	Discipline Multidisciplinary
Content Type	Text
Resource Type	Article
Subject	Clinical Biochemistry

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