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Revista del Instituto Nacional de Enfermedades Respiratorias

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QUINONES ANDRADE, Armando et al. Congenital lobar emphysema associated witn pectus excavatum. A clinical radiological case. Rev. Inst. Nal. Enf. Resp. Mex. [online]. 2006, vol.19, n.4, pp.282-285. ISSN 0187-7585.

Congenital lobar emphysema results from hyperinsufflation and air trapping in an otherwise histologically normal lobe, secondary to a bronchial valvular mechanism. It induces compression of normal lung and mediastinal shift. We present the case of a 45 day old male infant seen due to nonspecific respiratory difficulty and pectus excavatum; the chest X-ray showed a hyperlucent right lung and mediastinal shift. The resected middle lobe showed lobar emphysema. He remains in good condition 29 months later.

Keywords : Congenital lobar emphysema; hyperinsufflation; mediastinal shift; pectus excavatum.

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