Caso Clínico/Case Report
Enfisema lobar congénito com apresentação neonatal. Revisão de quatro casos clínicos
Congenital lobar emphysema of the newborn. Report of four clinical cases
Gustavo Rocha1,
, Inês Azevedo2, Jorge Correia Pinto3, Conceição Souto Moura4, Hercília Guimarães1
Corresponding author
gusrocha@oninet.pt
Correspondência: Gustavo Rocha, Serviço de Neonatologia / Departamento de Pediatria, Hospital de São João – Piso 2, Alameda Prof. Hernâni Monteiro, 4202 – 451 Porto, Portugal, Tel: +351 225095816, Fax: +351225512273
Correspondência: Gustavo Rocha, Serviço de Neonatologia / Departamento de Pediatria, Hospital de São João – Piso 2, Alameda Prof. Hernâni Monteiro, 4202 – 451 Porto, Portugal, Tel: +351 225095816, Fax: +351225512273
1 Assistente Hospitalar, Serviço de Neonatologia, Departamento de Pediatria, Hospital de São João e Faculdade de Medicina da Universidade do Porto
2 Assistente Hospitalar Graduada, Unidade de Pneumologia, Serviço de Pediatria, Departamento de Pediatria, Hospital de São João e Faculdade de Medicina da Universidade do Porto
3 Assistente Hospitalar, Serviço de Cirurgia Pediátrica, Departamento de Pediatria, Hospital de São João e Escola de Ciências da Saúde, Universidade do Minho
4 Assistente Hospitalar Graduada, Serviço de Anatomia Patológica, Hospital de São João e Faculdade de Medicina da Universidade do Porto
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Report of four clinical cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-11-30" "fechaAceptado" => "2010-06-10" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570287" "palabras" => array:2 [ 0 => "Enfisema lobar congénito" 1 => "recém-nascido" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570286" "palabras" => array:2 [ 0 => "Congenital lobar emphysema" 1 => "newborn" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> O enfisema lobar congénito (ELC) é uma anomalia rara do desenvolvimento pulmonar e a apresentação neonatal ocorre em cerca de 50% dos casos. Os autores apresentam quatro casos clínicos de ELC no recém-nascido. <span class="elsevierStyleBold">Casos clínicos:</span> Quatro recém-nascidos de termo, 3<span class="elsevierStyleHsp" style=""></span>M/1<span class="elsevierStyleHsp" style=""></span>F, admitidos por dificuldade respiratória com início variável entre as 20 horas e os 18 dias de vida, apresentaram radiografia de tórax na admissão sugestiva de ELC, diagnóstico confirmado por tomografia axial computorizada. O ELC afectou o lobo superior direito em três casos e o lobo médio em um caso. Foi efectuada lobectomia nos quatro recém-nascidos. O estudo anatomopatológico das peças operatórias confirmou o diagnóstico nos quatro casos, tendo revelado hipoplasia da cartilagem da árvore brônquica em três. <span class="elsevierStyleBold">Conclusão:</span> A casuística está de acordo com a literatura no predomínio no sexo masculino, forma de apresentação, tempo variável até ao diagnóstico, envolvimento unilobar e não identificação de causa evidente num dos casos. O tratamento cirúrgico foi universal.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 849-857</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Congenital lobar emphysema (CLE) is a rare anomaly of lung development that presents in the neonatal period in about 50% of the cases. The authors report four clinical cases of congenital lobar emphysema in the newborn.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Clinical cases:</span> Four term newborns, 3<span class="elsevierStyleHsp" style=""></span>M/ 1<span class="elsevierStyleHsp" style=""></span>F, were admitted for respiratory distress starting between 20 hours of life and 18 days. The chest x-ray at admission was suggestive of CLE and the diagnosis was confirmed by computorized tomography. The CLE affected the right upper lobe in three cases and the medium lobe in one case. All patients were treated with lobectomy. The pathological study of the surgical specimens confirmed the diagnosis in the four cases, and revealed hypoplasia of the bronquiolar tree cartilage in three. <span class="elsevierStyleBold">Conclusions:</span> Our series is according to literature regarding to male gender preponderance, clinical presentation, different time to diagnosis, unilobar involvement and no identification of an evident aetiology in one case. Surgical treatment was universal.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 849-857</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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